| Table Counseling And Wellness Llc | |
|
2077 Green Gate Pl Grayson GA 30017-1857 | |
| (404) 496-8621 | |
| Not Available |
| Full Name | Table Counseling And Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2077 Green Gate Pl, Grayson, Georgia |
| Authorized Official Name and Position | Kelley West (OWNER) |
| Authorized Official Contact | 4044968621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Table Counseling And Wellness Llc 911 Duluth Highway # C-1b-315 Lawrenceville GA 30043 Ph: (404) 496-8621 | Table Counseling And Wellness Llc 2077 Green Gate Pl Grayson GA 30017-1857 Ph: (404) 496-8621 |
| NPI Number | 1508708249 |
|---|---|
| Provider Enumeration Date | 04/09/2026 |
| Last Update Date | 04/09/2026 |
| Certification Date | 04/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508708249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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