ALPHA NUTRITION & WELLNESS CENTER, LLC (NPI# 1952937468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952937468 |
| Entity Type | Organization |
| Organization Name | ALPHA NUTRITION & WELLNESS CENTER, LLC |
| Practice Address |
11130 State Bridge Rd Ste E101 Johns Creek GA 30022-2641 |
| Mailing Address |
801 Locust Grove Ct Alpharetta GA 30004-1157 |
| Practice Telephone | 6785388696 |
| Practice Fax Number | 4784193990 |
| Mailing Telephone | 6785371068 |
| Mailing Fax Number | 4784193990 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Authorized Official Name | DR. VERONICA O OKWOCHE (DIRECTOR) |
| Authorized Official Telephone | 6785388696 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | ALPHA NUTRITION & WELLNESS CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Alpharetta Diagnostics Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336447754 | Alpha Nutrition & Wellness Center, LLC | Physiological Laboratory | 5 Old Roswell St, Alpharetta, GA 30009-7907 | 2011-03-09 |
| Street Address |
11130 STATE BRIDGE RD STE E101 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30022-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896731 | Veronica Oriako Okwoche | Nutritionist | 11130 State Bridge Rd Ste E101, Johns Creek, GA 30022-2641 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896731 | Veronica Oriako Okwoche | Nutritionist | 11130 State Bridge Rd Ste E101, Johns Creek, GA 30022-2641 | 2020-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557638 | Brenda L Nelson-porter | Nutritionist | 105 Wilson Cir, Newnan, GA 30263-5594 | 2020-10-27 |
| 1265047674 | Tracey Lashae Copeland | Nutritionist | 139 Ralph Mcgill Blvd Ne # 5, Atlanta, GA 30308-3339 | 2020-09-11 |
| 1417570904 | Asase Ye Duru Holistic,llc | Nutritionist | 1201 W Peachtree St Nw, Atlanta, GA 30309-3449 | 2020-05-19 |
| 1942839659 | Taylor Renee Flewellen | Nutritionist | 8132 Autumn Forest Dr, Jonesboro, GA 30236-3971 | 2020-04-04 |
| 1326511940 | Olivia Haeberle | Nutritionist | 4113 Daniel Green Trl Se, Smyrna, GA 30080-6310 | 2019-01-07 |
| 1033622956 | Dhw Enterprises | Nutritionist | 5300 Brickleberry Way Ste 104, Douglasville, GA 30134-4065 | 2017-11-14 |
| 1609312487 | Alamo Health Group, LLC | Nutritionist | 4816 Ashford Ln, Atlanta, GA 30338-2650 | 2017-01-17 |
| 1093261034 | Amy Lambert | Nutritionist | 1575 Mclendon Ave Ne, Atlanta, GA 30307-2167 | 2016-08-30 |
| 1114311990 | Keena Stephens | Nutritionist | 211 Cove Pl, Atlanta, GA 30339-5207 | 2015-03-19 |
| 1306244983 | Dorothy Ni-rivera | Nutritionist | 204 Bender St, Hinesville, GA 31313-8081 | 2014-12-12 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on ALPHA NUTRITION & WELLNESS CENTER, LLC.
| 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.