| Wholeness Within Llc | |
|
4292 Memorial Dr Ste C Decatur GA 30032-1224 | |
| (203) 901-2493 | |
| (404) 738-3224 |
| Full Name | Wholeness Within Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4292 Memorial Dr Ste C, Decatur, Georgia |
| Authorized Official Name and Position | Walter Brooks (OWNER) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholeness Within Llc 4292 Memorial Dr Ste C Decatur GA 30032-1224 Ph: (203) 901-2493 | Wholeness Within Llc 4292 Memorial Dr Ste C Decatur GA 30032-1224 Ph: (203) 901-2493 |
| NPI Number | 1255042982 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 6103272430 |
|---|---|
| Medicare Enrollment ID | O20231024000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255042982 | NPI | - | NPPES |
| Provider Name | Daniel P Golightly |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1508955071 PECOS PAC ID: 6103072129 Enrollment ID: I20120807000814 |
| Provider Name | Walter Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669745675 PECOS PAC ID: 0648445734 Enrollment ID: I20240119000365 |
Joseph T Elder, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1439 Mclendon Dr Ste D, Decatur, GA 30033 Phone: 404-493-4381 Fax: 770-934-3280 | |
Haven House Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Flat Shoals Pkwy, Decatur, GA 30034 Phone: 404-243-9336 Fax: 404-212-1265 | |
Sherri Cauthen, Lcsw, Rpt-s Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 Clairmont Rd Ste 105, Decatur, GA 30033 Phone: 770-743-7405 | |
Alliance Recovery Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 Swanton Way # B, Decatur, GA 30030 Phone: 404-377-7669 Fax: 404-377-8536 | |
Center For Cognitive Rehabilitation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 Mcconnell Dr, Suite C, Decatur, GA 30033 Phone: 404-321-1441 Fax: 404-321-5876 | |
Developmental Evaluation Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Winn Way, Decatur, GA 30030 Phone: 404-508-6413 Fax: 404-508-6443 | |
Stand, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3486 Covington Hwy, Decatur, GA 30032 Phone: 404-288-4668 Fax: 404-288-4688 |