| Wilson's Garden Of Hope | |
|
3062 Damascus Rd Suite 100 Augusta GA 30909-4068 | |
| (762) 233-4642 | |
| Not Available |
| Full Name | Wilson's Garden Of Hope |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3062 Damascus Rd, Augusta, Georgia |
| Authorized Official Name and Position | Shatisha Matrice Wilson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7622334642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson's Garden Of Hope 3478 Essex Pl Hephzibah GA 30815-7172 Ph: (762) 233-4642 | Wilson's Garden Of Hope 3062 Damascus Rd Suite 100 Augusta GA 30909-4068 Ph: (762) 233-4642 |
| NPI Number | 1710325766 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710325766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LAPC002949 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC006436 (Georgia) | Primary |
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