Organization Active NPI

The Wellness Shuffle LLC

  • Professional Counselor
  • Lithonia, GA
National Provider Identifier
1023913134
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE WELLNESS SHUFFLE LLC
Practice address
3211 Fairington Dr
Lithonia, GA 30038-5005
Phone
(912) 656-3958
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Tashayla Keandra Williams, PHD, LPC, NCC
Title
Co-Owner, Clinical Director
Phone
(912) 656-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3211 Fairington Dr
Lithonia, GA 30038-5005

Mailing address

3211 Fairington Dr
Lithonia, GA 30038-5005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1023913134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FAIRINGTON DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300385005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 FAIRINGTON DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300385005",
            "telephone_number": "912-656-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS SHUFFLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TASHAYLA",
        "authorized_official_middle_name": "KEANDRA",
        "authorized_official_title_or_position": "CO-OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "912-656-3958",
        "authorized_official_credential": "PHD, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.