Center for Wellness: Community Counseling, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW 002206 Issued in GA

Legal business name

CENTER FOR WELLNESS: COMMUNITY COUNSELING, INC

Practice address

8333 Office Park Dr
Suite a
Douglasville, GA 30134-6937

Phone

(770) 597-1147

Fax

(770) 693-8619

NPI assigned

Aug 6, 2008

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carol A Wheeler, LCSW

Title

President/Therapist

Phone

(770) 597-1147

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1881850030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 KINGS HWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354604",
            "telephone_number": "770-597-1147",
            "fax_number": "770-693-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 OFFICE PARK DR",
            "address_2": "SUITE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "770-597-1147",
            "fax_number": "770-693-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS: COMMUNITY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "770-597-1147",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW 002206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00073767679B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Douglasville, GA
• Providers in Douglasville, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.