Provider Demographics
NPI:1841059813
Name:ANEW COUNSELING AND WELLNESS CENTER, INC.
Entity type:Organization
Organization Name:ANEW COUNSELING AND WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-374-1858
Mailing Address - Street 1:149 FALLEN OAK TRCE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-6684
Mailing Address - Country:US
Mailing Address - Phone:470-202-5000
Mailing Address - Fax:
Practice Address - Street 1:149 FALLEN OAK TRCE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-6684
Practice Address - Country:US
Practice Address - Phone:470-202-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty