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WELLS OF WHOLENESS INC. NPI 1326352733


NPI Information

NPI: 1326352733
Provider Name: WELLS OF WHOLENESS, INC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
2775 CRUSE RD STE 1201
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 564-9355
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WELLS OF WHOLENESS, INC. is a marriage family therapist in Lawrenceville, GA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. WELLS OF WHOLENESS, INC. NPI is 1326352733. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2775 CRUSE RD STE 1201
LAWRENCEVILLE, GA
ZIP 30044-144
Phone: (770) 564-9355
Fax: (770) 564-9356

The provider's authorized official is April Cherie' Wells .
The authorized official title is Executive Director and has the following contact phone number (404) 917-9355.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 1/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP1600XCounselorPastoralLPC005400GEORGIANo
2101YP2500XCounselorProfessionalMFT001139GEORGIANo
3101Y00000XCounselorLPC005400GEORGIANo
4101YM0800XCounselorMental HealthMFT001139GEORGIANo
5101Y00000XCounselorMFT001139GEORGIANo
6101YM0800XCounselorMental HealthLPC005400GEORGIANo
7101YP2500XCounselorProfessionalLPC005400GEORGIANo
8101YP1600XCounselorPastoralMFT001139GEORGIANo
9106H00000XMarriage & Family TherapistMFT001139GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003166388AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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