Organization Active NPI

Halo Wellness & IV Therapy Inc

  • Clinical Medical Laboratory
  • Acworth, GA
National Provider Identifier
1104736875
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HALO WELLNESS & IV THERAPY INC
Practice address
4462 Bretton CT NW
Acworth, GA 30101-3027
Phone
(305) 915-7205
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Kayla Cullins, CPT
Title
Nha Lead Certified Phlebotomist
Phone
(305) 915-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4462 Bretton CT NW
Acworth, GA 30101-3027

Mailing address

1545 White Marsh Rd
Kennesaw, GA 30152-1149
Phone (305) 915-7205

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1104736875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 WHITE MARSH RD",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301521149",
            "telephone_number": "305-915-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4462 BRETTON CT NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013027",
            "telephone_number": "305-915-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO WELLNESS & IV THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "CULLINS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "NHA LEAD CERTIFIED PHLEBOTOMIST",
        "authorized_official_telephone_number": "305-915-7505",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.