Organization · Type 2 NPI

John W. Wilson, Psyd, LLC

Community/Behavioral Health Agency · Marietta, GA

NPI number 1508195504 Active

Practice location

3115 Roswell Rd, Suite 201
Marietta, GA 30062-7605

Mailing address

1815 Annwicks Dr
Marietta, GA 30062-5407

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XPSY003201 (GA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1508195504

John W. Wilson, Psyd, LLC's National Provider Identifier is 1508195504, issued on Dec 22, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Marietta, GA. The record was last updated on Dec 22, 2009.