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Organization
WELL3PLUS COLLABORATIVE CARE, LLC
Active
Organization
WELL3PLUS COLLABORATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE MAXEY LLC (CEO, CLINICAL DIRECTOR)
(470) 930-2000
Entity
Organization
Contact information
Practice address
320 LANIER AVE W, FAYETTEVILLE, GA 30214-1600
(470) 930-2000
Mailing address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(470) 930-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW008217
PROFESSIONAL LICENSE NUMBER
GA
Enumeration date
09/26/2022
Last updated
09/26/2022
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