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Organization

THE WELLNESS GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEREMY MICHAEL SMITH B.A., M.S., NCC, LPC (PARTNER)
(205) 280-7733
Entity
Organization

Contact information

Practice address
232 TOWN MART, CLANTON, AL 35045-3784
(205) 280-7733
(205) 280-7733
Mailing address
232 TOWN MART, CLANTON, AL 35045-3784
(205) 280-7733
(205) 280-7733

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2723
AL
101YP2500X
Professional Counselor
Primary
2723
AL
103K00000X
Behavior Analyst
2723
AL
103TC0700X
Clinical Psychologist
1406
AL
106H00000X
Marriage & Family Therapist
2723
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932456134
AL
01
51131358
BLUE CROSS BLUE SHIELD
AL
01
719746
VALUEOPTIONS
AL
Enumeration date
08/07/2012
Last updated
12/03/2013
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