| Wells Of Life Counseling Llc | |
|
10536 Auto Mall Pkwy Ste B Diberville MS 39540-3742 | |
| (985) 260-1914 | |
| Not Available |
| Full Name | Wells Of Life Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10536 Auto Mall Pkwy Ste B, Diberville, Mississippi |
| Authorized Official Name and Position | Gretchen P. Petrie (CEO) |
| Authorized Official Contact | 9852601914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Of Life Counseling Llc Po Box 267 Pearl River LA 70452-0267 Ph: (504) 329-2859 | Wells Of Life Counseling Llc 10536 Auto Mall Pkwy Ste B Diberville MS 39540-3742 Ph: (985) 260-1914 |
| NPI Number | 1124806344 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124806344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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