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Organization

TONYIA WILSON

Active
Other names
Merriheart Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TONYIA WILSON LPC (OWNER/CEO)
(229) 548-8591
Entity
Organization

Contact information

Practice address
101 S MAPLE ST, ADEL, GA 31620-2632
(229) 548-8591
Mailing address
PO BOX 142, SPARKS, GA 31647-0142
(229) 548-8591
(229) 549-7906

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
007793
GA

Other

Enumeration date
06/25/2014
Last updated
06/25/2014
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