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General NPI Number Information
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NPI Number | 1578410825
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Entity Type | Organization
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Legal Business Name | WISDOMS HOUSE INC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 400 GALLERIA PKWY SE
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City | ATLANTA
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State | GA
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Zip | 30339-5980
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Country | US
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Telephone | 678-534-5887
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Fax |
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Provider Business Mailing Address
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Address Line | 400 GALLERIA PKWY SE
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City | ATLANTA
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State | GA
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Zip | 30339-5980
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Country | US
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Telephone | 678-534-5887
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Fax |
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Authorized Official
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Title or Position | CEO/LCSW
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Name | SOPHIA PHILOGENE
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Credential |
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Telephone | 407-914-4956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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