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General NPI Number Information
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NPI Number | 1326352733
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Entity Type | Organization
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Legal Business Name | WELLS OF WHOLENESS, INC.
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 2775 CRUSE RD STE 1201
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7144
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Country | US
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Telephone | 770-564-9355
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Fax | 770-564-9356
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Provider Business Mailing Address
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Address Line | PO BOX 956445
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City | DULUTH
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State | GA
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Zip | 30095-9508
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Country | US
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Telephone | 770-564-9355
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Fax | 770-564-9356
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. APRIL CHERIE' WELLS
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Credential | TH.D., LPC, LMFT
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Telephone | 404-917-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | LPC005400
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MFT001139
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC005400
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFT001139
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MFT001139
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC005400
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC005400
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | MFT001139
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001139
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License Number State | GA
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