OrganizationActive
Wellstar Healthcare System
NPI 1275879595 · Adolescent and Children Mental Health Clinic/Center · Marietta, GA
Provider details
- NPI number
- 1275879595
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tammy Bennett, Revenue Management
- License
- PT007517 (GA)
Practice location
818 Church St Ne
Marietta, GA 30060-8969
Phone: (770) 792-5284
Fax: (770) 792-1513
Mailing address
805 Sandy Plains Rd
Marietta, GA 30066-6340
Registry dates
- Enumerated
- 2012-12-13
- Last updated
- 2012-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.