| The Wesley Center For Behavioral Wellness | |
|
127 Enterprise Path Ste 402 Hiram GA 30141-2698 | |
| (678) 653-0448 | |
| (800) 717-0840 |
| Full Name | The Wesley Center For Behavioral Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 127 Enterprise Path Ste 402, Hiram, Georgia |
| Authorized Official Name and Position | Mia M Wolfrey (OWNER) |
| Authorized Official Contact | 6786530448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wesley Center For Behavioral Wellness 127 Enterprise Path Ste 402 Hiram GA 30141-2698 Ph: (678) 653-0448 | The Wesley Center For Behavioral Wellness 127 Enterprise Path Ste 402 Hiram GA 30141-2698 Ph: (678) 653-0448 |
| NPI Number | 1326590357 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 11/06/2018 |
| Medicare PECOS PAC ID | 3476826181 |
|---|---|
| Medicare Enrollment ID | O20170831000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326590357 | NPI | - | NPPES |
| Provider Name | Mia Malika Wolfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649663691 PECOS PAC ID: 4385917095 Enrollment ID: I20170831001307 |
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