| Well3plus Collaborative Care, Llc | |
|
320 Lanier Ave W Fayetteville GA 30214-1600 | |
| (470) 930-2000 | |
| Not Available |
| Full Name | Well3plus Collaborative Care, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 320 Lanier Ave W, Fayetteville, Georgia |
| Authorized Official Name and Position | Valerie Maxey (CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 4709302000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well3plus Collaborative Care, Llc 320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 Ph: (470) 930-2000 | Well3plus Collaborative Care, Llc 320 Lanier Ave W Fayetteville GA 30214-1600 Ph: (470) 930-2000 |
| NPI Number | 1033832993 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033832993 | NPI | - | NPPES |
| CSW008217 | Other | GA | PROFESSIONAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
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