Wells of Life Counseling LLC
NPI #1124806344 in Diberville, Mississippi
Provider Information
- NPI Number
- 1124806344
- Entity Type
- Organization
- Organization Name
- Wells of Life Counseling LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 19, 2023
- Last Updated
- Jan 23, 2025
Practice Location
- Address
- 10536 AUTO MALL PKWY STE B
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-3742
- Phone
- (985) 260-1914
Authorized Official
- Name
- GRETCHEN P. PETRIE, LPC
- Title
- CEO
- Phone
- (985) 260-1914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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| MRS. Camilla Joy Moore, LPC,NCC | |
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