| The Guiding Light Wellness Center | |
|
4450 Oliver Ln Douglasville GA 30135-1965 | |
| (267) 341-7136 | |
| Not Available |
| Full Name | The Guiding Light Wellness Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4450 Oliver Ln, Douglasville, Georgia |
| Authorized Official Name and Position | Kala Farrare (OWNER) |
| Authorized Official Contact | 2673417136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Guiding Light Wellness Center 4450 Oliver Ln Douglasville GA 30135-1965 Ph: (267) 341-7136 | The Guiding Light Wellness Center 4450 Oliver Ln Douglasville GA 30135-1965 Ph: (267) 341-7136 |
| NPI Number | 1043025026 |
|---|---|
| Provider Enumeration Date | 02/08/2025 |
| Last Update Date | 02/08/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043025026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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