Provider Demographics
NPI:1407522345
Name:WELLNESS FIRST COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:WELLNESS FIRST COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLISHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:AMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-550-2206
Mailing Address - Street 1:2801 WASHINGTON RD STE107 BOX 261
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-550-2206
Mailing Address - Fax:
Practice Address - Street 1:3345 SADDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-6239
Practice Address - Country:US
Practice Address - Phone:706-550-2206
Practice Address - Fax:877-910-1304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health