Active NPI
Angels Wellness Therapeutic Group
- Professional Counselor
- College Park, GA
National Provider Identifier
1013668193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ANGELS WELLNESS THERAPEUTIC GROUP
- Practice address
- 2165 Rugby Ave # 7
College Park, GA 30337-1025 - Phone
- (678) 663-5645
- NPI assigned
- Jan 11, 2022
- Last updated
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angel R Bryant, LPC, CRC
- Title
- Therapist
- Phone
- (678) 663-5645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2165 Rugby Ave # 7
College Park, GA 30337-1025
Mailing address
2165 Rugby Ave # 7
College Park, GA 30337-1025
Phone (678) 663-5645
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1013668193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 RUGBY AVE # 7",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303371025",
"telephone_number": "678-663-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 RUGBY AVE # 7",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303371025",
"telephone_number": "678-663-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS WELLNESS THERAPEUTIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "678-663-5645",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, CRC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.