Ibori Counseling & Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

IBORI COUNSELING & WELLNESS, LLC

Practice address

285 W Wieuca Rd NE # 4260
Atlanta, GA 30342-3321

Phone

(404) 852-0794

NPI assigned

Sep 1, 2023

Organization subpart

No

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

Authorized official

Name

Georcol Gomillion, LPCNPI 1215465836

Title

Owner/Ceo

Phone

(404) 852-0794

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georcol L Gomillion, LPC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1215465836
  NPD Authorized official

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1104602556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W WIEUCA RD NE # 4260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W WIEUCA RD NE # 4260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423321",
            "telephone_number": "404-852-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBORI COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "GOMILLION",
        "authorized_official_first_name": "GEORCOL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "404-852-0794",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harieth C. Ibekwe
• Irene Obiageri Ibenyenwa, FNP-C
• Ijeabalum Ibezue
• Ijeoma Ibezue, M.D.
• Esther Oluwatomisin Ibikunle
• Oluwayemisi O Ibraheem, M.D.
• Yaqutullah Ibraheem, MS, RD, LD
• Abdo Ibrahim, DC
• Dina Imad Ibrahim, PHARMD
• Joseph Ibrahim, MD

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.