|
| |
|
3510 W Stewarts Mill Rd Douglasville GA 30135-2471 | |
| (770) 947-6118 | |
| (770) 949-4069 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3510 W Stewarts Mill Rd, Douglasville, Georgia |
| Authorized Official Name and Position | K. Nicole Wise (VICE PRESIDENT/EDUCATIONAL THERAPIS) |
| Authorized Official Contact | 6785985619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3510 W Stewarts Mill Rd Douglasville GA 30135-2471 Ph: (770) 947-6118 | 3510 W Stewarts Mill Rd Douglasville GA 30135-2471 Ph: (770) 947-6118 |
| NPI Number | 1760670400 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760670400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
The Sister Circle Of Love And Empowerment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Boyer Glen Dr., Douglasville, GA 30135 Phone: 770-896-6854 | |
The Guiding Light Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4450 Oliver Ln, Douglasville, GA 30135 Phone: 267-341-7136 | |
Change Your Story Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8336 Office Park Dr Ste Office, Douglasville, GA 30134 Phone: 770-568-7650 | |
Life Tools Community Development Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5357 Chapel Hill Rd, Douglasville, GA 30135 Phone: 770-942-4742 Fax: 770-293-0786 | |
Douglasville Psychological Outpatient Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8304 Office Park Dr, Douglasville, GA 30134 Phone: 678-838-9336 |