Organization
HELEN T WHITLEY, LCSW, INC.
Active
Organization
HELEN T WHITLEY, LCSW, INC.
Active
Other names
Helen T Whitley, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN T WHITLEY LCSW (OWNER)
(770) 517-3363
Entity
Organization
Contact information
Practice address
131 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8215
(770) 517-3363
(770) 517-3308
Mailing address
131 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8215
(770) 517-3363
(770) 517-3308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093809220
INDIVIDUAL NPI
GA
Enumeration date
09/24/2015
Last updated
09/24/2015
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