Organization
BEHAVIORAL HEALTH WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE MOORE (THERAPIST CEO)
(678) 548-0557
Entity
Organization
Contact information
Practice address
2470 WINDY HILL ROAD, SUITE 366C, MARIETTA, GA 30067
(678) 548-0557
(770) 926-6184
Mailing address
4706 JAMERSON FOREST CIRCLE, MARIETTA, GA 30066
(678) 548-0557
(770) 926-6184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW1840
GA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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