Organization
GEORGIA CENTER FOR MENTAL WELLNESS, LLC
Active
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
Update your record
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