Organization
ATWELLS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLA ATWELL (LPC/CEO)
(267) 709-7147
Entity
Organization
Contact information
Practice address
414 WOODRIDGE DR, ATLANTA, GA 30339-5821
(267) 709-7147
Mailing address
414 WOODRIDGE DR, ATLANTA, GA 30339-5821
(267) 709-7147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC007757
GA
101YP2500X
Professional Counselor
Primary
LPC007757
GA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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