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Organization
THE LIVING WELL AGENCY, LLC
Active
Organization
THE LIVING WELL AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE LYNN MARSHALL LMFT (OWNER)
(770) 284-0560
Entity
Organization
Contact information
Practice address
220 LANIER AVE E STE 2, FAYETTEVILLE, GA 30214-1604
(770) 284-0560
Mailing address
425 MERRYDALE DR, FAYETTEVILLE, GA 30215-5422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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