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General NPI Number Information
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NPI Number | 1568829869
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Entity Type | Organization
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Legal Business Name | THE WILSON CENTER FOR WELL-BEING LLC
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2854 JOHNSON FERRY RD SUITE 200
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City | MARIETTA
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State | GA
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Zip | 30062-5699
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Country | US
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Telephone | 678-907-5987
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Fax | 678-560-2481
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Provider Business Mailing Address
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Address Line | 3520 BROOKHILL CIR
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City | MARIETTA
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State | GA
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Zip | 30062-1118
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Country | US
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Telephone | 678-907-5987
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Fax | 678-560-2481
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Authorized Official
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Title or Position | OWNER
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Name | ANN MURPHY WILSON BILLIAN
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Credential | MS, LPC, CADCII
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Telephone | 678-504-6512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC001653
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License Number State | GA
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