Organization Active NPI

Power Forward Therapy & Wellness, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Snellville, GA
National Provider Identifier
1124867643
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
POWER FORWARD THERAPY & WELLNESS, LLC.
Practice address
2330 Scenic Hwy S Ste 565
Snellville, GA 30078-3115
Phone
(404) 747-3411
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Keshara Goode, LCSWNPI 1104602960
Title
Owner
Phone
(404) 747-3411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2330 Scenic Hwy S Ste 565
Snellville, GA 30078-3115

Mailing address

2330 Scenic Hwy S Ste 565
Snellville, GA 30078-3115
Phone (404) 747-3411

National Provider Directory

National Provider Directory

Locations

2330 Scenic Hwy S
Ste 565
Snellville, GA 30078
Phone (404) 747-3411

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1124867643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 565",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "404-747-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 565",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "404-747-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER FORWARD THERAPY & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "KESHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-747-3411",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.