Louise Wise LLC

NPI #1699239475 in Tucker, Georgia

Provider Information

NPI Number: 1699239475
Entity Type: Organization
Organization Name: Louise Wise LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 26, 2019
Last Updated: Apr 9, 2023

Practice Location

Address: 2206 HANFRED LN STE 103
City: Tucker
State: Georgia
ZIP Code: 30084-4809
Phone: (678) 831-6429

Authorized Official

Name: LOUISE WISE
Title: PROVIDER
Phone: (678) 831-6429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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