SearchGeorgia104100000X

Shanise Wooten

NPI 1013691054 · on the registry since 2023 · sole proprietor

Practice

Address
135 Bradford Sq Ste A
Fayetteville, GA 30215
Phone
(404) 834-1001
Organisation at this address
Solacium Living, Llc
Mindset Healthcare, Pc
Diamond Counseling And Coaching, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia