Organization Active NPI

Atwells Wellness Center

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1184029290
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007757 Issued in GA
Legal business name
ATWELLS WELLNESS CENTER
Practice address
414 Woodridge Dr
Atlanta, GA 30339-5821
Phone
(267) 709-7147
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Daniella AtwellNPI 1003044686
Title
LPC/Ceo
Phone
(267) 709-7147

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LPC007757 GA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC007757 GA Primary

Addresses

Primary practice location

414 Woodridge Dr
Atlanta, GA 30339-5821

Mailing address

414 Woodridge Dr
Atlanta, GA 30339-5821
Phone (267) 709-7147

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1184029290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WOODRIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395821",
            "telephone_number": "267-709-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 WOODRIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395821",
            "telephone_number": "267-709-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWELLS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "ATWELL",
        "authorized_official_first_name": "DANIELLA",
        "authorized_official_title_or_position": "LPC/CEO",
        "authorized_official_telephone_number": "267-709-7147"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC007757",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.