| Restoring Wellness Counseling Llc | |
|
1226 Royal Dr Sw Ste E Conyers GA 30094-5926 | |
| (678) 310-9089 | |
| (470) 228-1534 |
| Full Name | Restoring Wellness Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1226 Royal Dr Sw Ste E, Conyers, Georgia |
| Authorized Official Name and Position | Rose M Williams (MANAGING MEMBER) |
| Authorized Official Contact | 6783109089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Wellness Counseling Llc 1226 Royal Dr Sw Ste E Conyers GA 30094-5926 Ph: (678) 310-9089 | Restoring Wellness Counseling Llc 1226 Royal Dr Sw Ste E Conyers GA 30094-5926 Ph: (678) 310-9089 |
| NPI Number | 1245836139 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Medicare PECOS PAC ID | 5294141966 |
|---|---|
| Medicare Enrollment ID | O20210303002179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245836139 | NPI | - | NPPES |
| UNKNOWN | Other | GA | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rose Marie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902283542 PECOS PAC ID: 0840564167 Enrollment ID: I20170925001954 |
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