Organization
THE LIFE CHANGE GROUP
Active
Organization
THE LIFE CHANGE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M WRIGHT PH D (LICENSED PSYCHOLOGIST)
(770) 486-4887
Entity
Organization
Contact information
Practice address
302 STEVENS ENTRY, PEACHTREE CITY, GA 30269-1325
(770) 486-4887
Mailing address
590 WENTWORTH CT, FAYETTEVILLE, GA 30215-7830
(404) 664-5797
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY003202
GA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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