FAMILY WELLNESS CENTER LLC (NPI# 1225489354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225489354 |
| Entity Type | Organization |
| Organization Name | FAMILY WELLNESS CENTER LLC |
| Practice Address |
3883 Rogers Bridge Rd Ste 202a Duluth GA 30097-2802 |
| Practice Telephone | 7705458359 |
| Mailing Telephone | 7705458359 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | MRS. BOLA K OLATERU-OLAGBEGI (MANAGER) |
| Authorized Official Telephone | 7705458359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3883 ROGERS BRIDGE RD STE 202A |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811077688 | Cara Helsel | Social Worker | 3883 Rogers Bridge Rd, Duluth, GA 30097-2802 | 2006-10-16 |
| 1700365772 | Rosa Maria Camarillo | Counselor | 3883 Rogers Bridge Rd, Duluth, GA 30097 | 2018-08-10 |
| 1710423660 | Healing Space, LLC | Counselor | 3883 Rogers Bridge Rd, Ste. 203a, Duluth, GA 30097-2802 | 2017-01-17 |
| 1902265242 | Kiawata Melvin-gueh | Counselor | 3883 Rogers Bridge Rd, Suite 204a, Duluth, GA 30097-2802 | 2016-02-15 |
| 1568843860 | Sarah Brown | Counselor | 3883 Rogers Bridge Rd, Suite 204a, Duluth, GA 30097-2802 | 2015-06-11 |
| 1639570682 | Marta Stefanyshyn | Counselor | 3883 Rogers Bridge Rd, 204 A, Duluth, GA 30097-2802 | 2014-09-09 |
| 1881009645 | Christie Newsom | Counselor | 3883 Rogers Bridge Rd, 204 A, Duluth, GA 30097-2802 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945745 | Community Circles, LLC | Community/Behavioral Health | 104 W Superior St # 200, Duluth, MN 55802-3000 | 2019-04-08 |
| 1083105894 | Superior Counseling | Community/Behavioral Health | 312 N Central Ave Ste 300, Duluth, MN 55807-2524 | 2018-05-29 |
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1699206516 | Seeking Balance, LLC | Community/Behavioral Health | 205 W 2nd St Ste 301, Duluth, MN 55802-1928 | 2017-03-22 |
| 1023569928 | Living Hope Counseling & Coaching, LLC | Community/Behavioral Health | 230 W Superior St, Suite 400, Duluth, MN 55802-1916 | 2016-10-17 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1124448493 | Sue Hall's Place To Grow LLC | Community/Behavioral Health | 6015 E Superior St, Duluth, MN 55804-2538 | 2014-04-24 |
| 1033536206 | Valencia C Ayers | Community/Behavioral Health | 1470 Boggs Rd Apt 1004, Duluth, GA 30096-5839 | 2014-03-25 |
| 1487918199 | Bridges To Success, Inc. | Community/Behavioral Health | 4402 Haines Rd, Duluth, MN 55811-1528 | 2012-06-27 |
| 1184995243 | Currahee Home Builders, Inc | Community/Behavioral Health | 2763 Meadow Church Rd, Suite 200, Duluth, GA 30097-4989 | 2012-01-21 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.