Organization
GEORGIA CENTER FOR MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA BECKETT COLEMAN MSW, LCSW (CEO)
(678) 438-9084
Entity
Organization
Contact information
Practice address
3050 ATLANTA RD SE, SMYRNA, GA 30080-8255
(678) 438-9084
(770) 825-9120
Mailing address
563 IVEY WAY SE, MABLETON, GA 30126-4563
(678) 438-9084
(770) 825-9120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122272B
—
GA
Enumeration date
02/05/2014
Last updated
02/05/2014
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