| Whole Mind & Heart Psychotherapy Llc | |
|
123 Eagles Landing Pkwy Stockbridge GA 30281-5092 | |
| (678) 632-3847 | |
| (678) 696-7971 |
| Full Name | Whole Mind & Heart Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 123 Eagles Landing Pkwy, Stockbridge, Georgia |
| Authorized Official Name and Position | Maddie Melissa Oden (OWNER) |
| Authorized Official Contact | 6786323847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Mind & Heart Psychotherapy Llc 1000 Arbor Way Mcdonough GA 30253-8715 Ph: (678) 632-3847 | Whole Mind & Heart Psychotherapy Llc 123 Eagles Landing Pkwy Stockbridge GA 30281-5092 Ph: (678) 632-3847 |
| NPI Number | 1295480648 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295480648 | NPI | - | NPPES |
| CSW007546 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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