| NPI | 1154603470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY WEINGARTNER Owner 229-333-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003685) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC002897) |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY001532) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW003697) | |
| 106H00000X Marriage & Family Therapist (Licence: GA MFT001101) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |