Provider Demographics
NPI:1871597757
Name:WILEY, JANICE MARIE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:MARIE
Last Name:WILEY
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:JANICE M WILEY LCSW
Mailing Address - Street 2:160 CLAIREMONT AVE. SUITE 200
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2456
Mailing Address - Country:US
Mailing Address - Phone:404-371-0490
Mailing Address - Fax:404-255-9780
Practice Address - Street 1:JANICE M WILEY LCSW
Practice Address - Street 2:160 CLAIREMONT AVE. SUITE 200
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2456
Practice Address - Country:US
Practice Address - Phone:404-371-0490
Practice Address - Fax:404-255-9780
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2018-04-24
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Provider Licenses
StateLicense IDTaxonomies
GA0005831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical