Organization
PHOENIX COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARON FERGUSON (OWNER)
(706) 623-2334
Entity
Organization
Contact information
Practice address
646 OLD PHOENIX RD STE I, EATONTON, GA 31024-5007
(706) 623-2334
Mailing address
139 IRON HORSE DR, EATONTON, GA 31024-5775
(404) 333-2446
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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