| Jessica D Wheeler Lmft Inc | |
|
3350 Noble Way Ste B Valdosta GA 31605-7444 | |
| (229) 333-0300 | |
| (229) 333-0306 |
| Full Name | Jessica D Wheeler Lmft Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3350 Noble Way Ste B, Valdosta, Georgia |
| Authorized Official Name and Position | Jessica Wheeler (OWNER) |
| Authorized Official Contact | 2292370655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica D Wheeler Lmft Inc 3350 Noble Way Ste B Valdosta GA 31605-7444 Ph: (229) 333-0300 | Jessica D Wheeler Lmft Inc 3350 Noble Way Ste B Valdosta GA 31605-7444 Ph: (229) 333-0300 |
| NPI Number | 1629464995 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 04/13/2015 |
| Medicare PECOS PAC ID | 0648613240 |
|---|---|
| Medicare Enrollment ID | O20240212000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629464995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT001214 (Georgia) | Primary |
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