Organization
INTEGRATED WELLNESS COUNSELING & COACHING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE S WRIGHT LCSW (VP, CLINICAL SERVICES/CT WELLBEING)
(404) 220-8122
Entity
Organization
Contact information
Practice address
2727 PACES FERRY RD SE STE 750, ATLANTA, GA 30339-4053
(404) 220-8122
Mailing address
2727 PACES FERRY RD SE STE 750, ATLANTA, GA 30339-4053
(404) 220-8122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006828
LCSW - GA
GA
01
—
LC17916
LCSW-C MD
MD
Enumeration date
06/13/2019
Last updated
06/13/2019
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