Organization · NPI-2
Auburn Psychological Wellness Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Auburn, AL
NPI number1225674880
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1225674880
- Entity type
- Organization (NPI-2)
- Legal business name
- Auburn Psychological Wellness Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Auburn Psychological Wellness Center (Doing Business As)
Practice location
311 N College StAuburn, AL 36830-3814
Phone 334-219-0425
Mailing address
311 N College StAuburn, AL 36830-3814
Phone 334-219-0425
Authorized official
Marilyn Cornish
Owner, Licensed Psychologist
3342190425
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