Search › Georgia › 104100000X
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, LlcInferred 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