Organization
BRANTLEY COUNSELING LLC
Active
Organization
BRANTLEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL J WRIGHT LCSW (SOLE MEMBER)
(912) 292-6087
Entity
Organization
Contact information
Practice address
518 COUPER RD, WAYNESVILLE, GA 31566-3438
(912) 292-6087
(912) 244-9914
Mailing address
PO BOX 254, WAYNESVILLE, GA 31566-0254
(912) 292-6087
(912) 244-9914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 34536
ID
Other
Enumeration date
08/28/2016
Last updated
01/24/2024
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