Individual ProviderJohanna WendellCounselorBehavioral Health & Social Service ProvidersPractice Address3116 Maple Dr NE, Atlanta, GA 30305-2608(404) 981-3235(443) 852-4489PECOS EnrollmentBased on the most recent information from CMS, provider Johanna Wendell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1346654688Provider TypeIndividualFull NameWendell, JohannaCredentialLAPCGenderFemaleSole ProprietorYesEnumeration Date6/15/2014Last Updated6/15/2014Contact InformationPractice LocationPractice Address3116 Maple Dr NE, Atlanta, GA 30305-2608Phone(404) 981-3235FaxUnlisted FaxMailing LocationMailing Address6701 Castleton Dr, Sandy Springs, GA 30328-2003Phone(443) 852-4489FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseAPC004086Georgia