| Whw | |
|
323 Pine Ave Ste 204 Albany GA 31701-2587 | |
| (478) 952-9438 | |
| (229) 439-9231 |
| Full Name | Whw |
|---|---|
| Speciality | Counselor - Professional |
| Location | 323 Pine Ave Ste 204, Albany, Georgia |
| Authorized Official Name and Position | Teshaunda L Hannor-walker (CEO/LICENSED CLINICAL THERAPIST) |
| Authorized Official Contact | 4789529438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whw 209 Highland Oaks Dr Albany GA 31701-1292 Ph: (478) 952-9438 | Whw 323 Pine Ave Ste 204 Albany GA 31701-2587 Ph: (478) 952-9438 |
| NPI Number | 1760999098 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760999098 | NPI | - | NPPES |
| 913699044A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005989 (Georgia) | Primary |
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