Provider Demographics
NPI:1275140386
Name:THE WORTH, WISDOM, AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:THE WORTH, WISDOM, AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCUETTA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-835-5669
Mailing Address - Street 1:1750 POWDER SPRINGS RD SW STE 190-113
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4850
Mailing Address - Country:US
Mailing Address - Phone:770-835-5669
Mailing Address - Fax:678-737-1673
Practice Address - Street 1:1201 W PEACHTREE ST NW STE 2330
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3453
Practice Address - Country:US
Practice Address - Phone:770-835-5669
Practice Address - Fax:678-737-1673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty