| Wellpsyche, Inc. | |
|
501 Broad St Ste 306 Rome GA 30161-3096 | |
| (706) 232-8330 | |
| (844) 873-4760 |
| Full Name | Wellpsyche, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 501 Broad St Ste 306, Rome, Georgia |
| Authorized Official Name and Position | Shanna Melton (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7062328330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpsyche, Inc. 501 Broad St Ste 306 Rome GA 30161-3096 Ph: (706) 232-8330 | Wellpsyche, Inc. 501 Broad St Ste 306 Rome GA 30161-3096 Ph: (706) 232-8330 |
| NPI Number | 1992939201 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 2668833740 |
|---|---|
| Medicare Enrollment ID | O20230804003704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992939201 | NPI | - | NPPES |
| 434425435D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Shanna Melton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851432058 PECOS PAC ID: 4587620323 Enrollment ID: I20041203000487 |
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