Organization
CENTER FOR WELLNESS: COMMUNITY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ANN WHEELER LCSW (PRESIDENT)
(770) 597-1147
Entity
Organization
Contact information
Practice address
8333 OFFICE PARK DR, SUITE A, DOUGLASVILLE, GA 30134-6937
(770) 597-1147
(770) 693-8619
Mailing address
4452 KINGS HWY, DOUGLASVILLE, GA 30135-4604
(770) 597-1147
(770) 693-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000737679B
—
GA
Enumeration date
05/15/2009
Last updated
05/15/2009
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