| Wishing Well Counseling & Consulting | |
|
540 Powder Springs St Ste C17 Marietta GA 30064-3561 | |
| (678) 948-6817 | |
| Not Available |
| Full Name | Wishing Well Counseling & Consulting |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 540 Powder Springs St Ste C17, Marietta, Georgia |
| Authorized Official Name and Position | Anisha Cooper (OWNER) |
| Authorized Official Contact | 6789489817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wishing Well Counseling & Consulting 540 Powder Springs St Ste C17 Marietta GA 30064-3561 Ph: (678) 948-6817 | Wishing Well Counseling & Consulting 540 Powder Springs St Ste C17 Marietta GA 30064-3561 Ph: (678) 948-6817 |
| NPI Number | 1275176968 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275176968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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