Interconnection Wellness LLC
NPI #1780462473 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1780462473
- Entity Type
- Organization
- Organization Name
- Interconnection Wellness LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 15, 2023
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 113 S PERRY ST STE 206
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-4811
- Phone
- (470) 326-6717
Authorized Official
- Name
- KRISTAL ALEXIS LEWIS, LCSW
- Title
- CLINICAL SOCIAL WORKER
- Phone
- (470) 369-0957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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