Healthcare Provider Details
I. General information
NPI: 1932976784
Provider Name (Legal Business Name): REMIDI COUNSELING & WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2023
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3790 OLD US HIGHWAY 41 N STE A
VALDOSTA GA
31602-6865
US
IV. Provider business mailing address
3790 OLD US HIGHWAY 41 N STE A
VALDOSTA GA
31602-6865
US
V. Phone/Fax
- Phone: 229-262-1000
- Fax: 229-262-1085
- Phone: 317-438-2777
- Fax: 229-262-1085
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHELSEA
BLAIR
NELMS
Title or Position: CEO
Credential: LMFT
Phone: 317-438-2777