Doctor Name: | MS. CAROL A WHEELER |
NPI Number: | 1013951284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW002206 |
Business Practice Address: | 4452 Kings Highway Douglasville, GA - 30134 |
Business Phone Number: | 4047439469 |
Business Fax Number: | 7706838626 |
Mailing Address: | 4452 Kings Hwy, DOUGLASVILLE |
State: | GA |
Postal Code: | 301354604 |
Phone Number: | 7706938626 |
Fax Number: | 7706938619 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CSW002206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |