| The Well Therapy, Pllc | |
|
335 Boundless Ln Canton GA 30114-5381 | |
| (941) 979-6575 | |
| Not Available |
| Full Name | The Well Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 335 Boundless Ln, Canton, Georgia |
| Authorized Official Name and Position | Mitzi Brown (OWNER) |
| Authorized Official Contact | 9419796575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Therapy, Pllc 335 Boundless Ln Canton GA 30114-5381 Ph: (941) 979-6575 | The Well Therapy, Pllc 335 Boundless Ln Canton GA 30114-5381 Ph: (941) 979-6575 |
| NPI Number | 1194593632 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194593632 | NPI | - | NPPES |
| 1821567587 | Other | NPI 1 | |
| MH19437 | Other | FL | FLORIDA LICENSE |
| 14665 | Other | GA | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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