| Helen T Whitley, Lcsw | |
|
131 Mirramont Lake Dr Woodstock GA 30189-8215 | |
| (770) 517-3363 | |
| (770) 517-3308 |
| Full Name | Helen T Whitley, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 131 Mirramont Lake Dr, Woodstock, Georgia |
| Authorized Official Name and Position | Helen T Whitley (OWNER) |
| Authorized Official Contact | 7705173363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Helen T Whitley, Lcsw 131 Mirramont Lake Dr Woodstock GA 30189-8215 Ph: (770) 517-3363 | Helen T Whitley, Lcsw 131 Mirramont Lake Dr Woodstock GA 30189-8215 Ph: (770) 517-3363 |
| NPI Number | 1689043200 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689043200 | NPI | - | NPPES |
| 1093809220 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2001 (Georgia) | Primary |
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