Provider / Organization | NPI | Date Certified |
---|---|---|
SENOVIA WYCHE | 1114664851 | 2022-05-15 |
Senovia Wyche is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114664851. Registration indicates Senovia Wyche is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Dr. Senovia Wyche APC |
Practice Office Address | 4255 WADE GREEN RD NW STE 414 KENNESAW, GA US |
Practice Office Telephone | 6782132194 |
Mailing Address | 13 MERCER DR NW CARTERSVILLE, GA 301219259 US |
Business Telephone | 7703697261 |
Code | Practice | License No State |
---|---|---|
101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | APC009159
GA |