Organization
ESE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY PEARSON NP (OWNER)
(229) 356-1360
Entity
Organization
Contact information
Practice address
1539 OLD VALDOSTA RD, RAY CITY, GA 31645-7132
(706) 480-4322
Mailing address
1539 OLD VALDOSTA RD, RAY CITY, GA 31645-7132
(877) 755-2212
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/23/2022
Last updated
07/17/2023
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