Awaken Mind Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AWAKEN MIND THERAPY LLC

Practice address

3295 River Exchange Dr Ste 512
Norcross, GA 30092-4216

Phone

(678) 778-9866

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Lashundra VinesNPI 1275761454

Title

Licensed Professional Counselor

Phone

(678) 778-9866

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lashundra Vines

  • Professional Counselor
  • Norcross, GA
  • NPI 1275761454
  NPD Authorized official

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1154130300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 512",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924216",
            "telephone_number": "678-778-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 512",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924216",
            "telephone_number": "678-778-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "VINES",
        "authorized_official_first_name": "LASHUNDRA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-778-9866"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.