Organization
INTEGRATED WELLNESS COUNSELING SERVICES, LLC
Active
Other names
Devona M. Stalnaker
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEVONA M STALNAKER LPC (OWNER)
(678) 318-1994
Entity
Organization
Contact information
Practice address
195 W PIKE ST, SUITE 203, LAWRENCEVILLE, GA 30046-4966
(678) 318-1994
(678) 377-6080
Mailing address
PO BOX 1359, LAWRENCEVILLE, GA 30046-1359
(678) 318-1994
(678) 377-6080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004683
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12183939
CAQH
—
Enumeration date
05/21/2012
Last updated
05/21/2012
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