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Organization
WIWAC CONSULTING FIRM
Active
Organization
WIWAC CONSULTING FIRM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA EZZARD (DIRECTOR)
(678) 633-5104
Entity
Organization
Contact information
Practice address
19 PERRY ST STE 204, NEWNAN, GA 30263-1918
(678) 633-5104
(678) 214-2380
Mailing address
388 BULLSBORO DR STE 174, NEWNAN, GA 30263-1069
(678) 633-5104
(678) 214-2380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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