Organization Active NPI

Angels Wellness Therapeutic Group

  • Professional Counselor
  • College Park, GA
National Provider Identifier
1013668193
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Angel R Bryant, LPC, CRCNPI 1447664958
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.