Organization
BETTER MOOD CLINIC S GA LLC
Active
Organization
BETTER MOOD CLINIC S GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY WEINGARTNER LCSW (OWNER)
(229) 333-2273
Entity
Organization
Contact information
Practice address
2935 N ASHLEY ST BLDG F, VALDOSTA, GA 31602-1777
(229) 333-2273
(229) 293-7911
Mailing address
2935 N ASHLEY ST BLDG F, VALDOSTA, GA 31602-1777
(229) 333-2273
(229) 293-7911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC002897
GA
103TC0700X
Clinical Psychologist
PSY001532
GA
1041C0700X
Clinical Social Worker
Primary
CSW003685
GA
1041C0700X
Clinical Social Worker
CSW003697
GA
106H00000X
Marriage & Family Therapist
MFT001101
GA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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