Primo Wellness
Social Worker, Clinical in Alpharetta, GA. Organization (NPI-2).
NPI number1336771237
StatusActive
Last updated in NPPESFeb 8, 2020
Details
- NPI
- 1336771237
- Entity type
- Organization (NPI-2)
- Legal business name
- Primo Wellness
- Organization subpart
- No
- Enumeration date
- Feb 8, 2020
- Certification date
- Feb 8, 2020
- Last updated
- Feb 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
6742 Jamestown DriveAlpharetta, GA 30022-3002
Phone 770-235-3633
Mailing address
355 Welwyn WalkAlpharetta, GA 30022-7058
Phone 770-235-3633
Authorized official
Tanya Jones
Owner / Clinician
7702353633
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