Organization
HOME OF WELLNESS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEIA NICOLE MIXON LPC (OWNER/PSYCHOTHERAPIST)
(404) 936-4030
Entity
Organization
Contact information
Practice address
5436 RIVERDALE RD STE 125C, COLLEGE PARK, GA 30349-6938
(470) 240-1556
Mailing address
5436 RIVERDALE RD STE 125C, COLLEGE PARK, GA 30349-6938
(470) 240-1556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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