The Living Well Agency, Llc | |
220 Lanier Ave E Ste 2 Fayetteville GA 30214-1604 | |
(770) 284-0560 | |
Not Available |
Full Name | The Living Well Agency, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 220 Lanier Ave E Ste 2, Fayetteville, Georgia |
Authorized Official Name and Position | Adrienne Lynn Marshall (OWNER) |
Authorized Official Contact | 7702840560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Living Well Agency, Llc 425 Merrydale Dr Fayetteville GA 30215-5422 Ph: () - | The Living Well Agency, Llc 220 Lanier Ave E Ste 2 Fayetteville GA 30214-1604 Ph: (770) 284-0560 |
NPI Number | 1790514263 |
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Provider Enumeration Date | 07/31/2024 |
Last Update Date | 07/31/2024 |
Certification Date | 07/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790514263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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