Organization
LIVE WELL LIFE CENTER
Active
Organization
LIVE WELL LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNICE WILLIAMS PASTORAL COUNSELOR (CHRISTIAN COUNSELOR)
(404) 748-2778
Entity
Organization
Contact information
Practice address
1893 DOVONSHIRE RD SW, MARIETTA, GA 30064-4078
(404) 748-2778
Mailing address
1893 DOVONSHIRE RD SW, MARIETTA, GA 30064-4078
(404) 748-2778
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/07/2011
Last updated
07/13/2012
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