| Wiser Ground Llc | |
|
122 W Trinity Pl Apt 3305 Decatur GA 30030-3593 | |
| (404) 449-6199 | |
| Not Available |
| Full Name | Wiser Ground Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 122 W Trinity Pl Apt 3305, Decatur, Georgia |
| Authorized Official Name and Position | Jessica Schmoll (DIRECTOR, THERAPIST) |
| Authorized Official Contact | 4044496199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiser Ground Llc 122 W Trinity Pl Apt 3305 Decatur GA 30030-3593 Ph: (404) 449-6199 | Wiser Ground Llc 122 W Trinity Pl Apt 3305 Decatur GA 30030-3593 Ph: (404) 449-6199 |
| NPI Number | 1891518999 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891518999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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