Her Wellness Circle, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HER WELLNESS CIRCLE, LLC

Practice address

3605 Sandy Plains Rd Ste 493
Marietta, GA 30066-3068

Phone

(678) 538-9614

Fax

(678) 538-9613

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Ebony Peterson, LCSW

Title

Owner

Phone

(678) 538-9614

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Ebony Dowdell Peterson, LCSW

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1821692245
  NPD

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1184384372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 SANDY PLAINS RD STE 493",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663068",
            "telephone_number": "678-538-9614",
            "fax_number": "678-538-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 SANDY PLAINS RD STE 493",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663068",
            "telephone_number": "678-538-9614",
            "fax_number": "678-538-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER WELLNESS CIRCLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-538-9614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviane Hens, LPC
• Emily Mosgovoy Henson
• James Allen Henson Jr., D.D.S.
• Kristian Hope Henson, RPSGT
• Morgan Elizabeth Hepler
• Heritage Hospice Inc
• Alan Herline, MD
• Robert C Hermann, MD
• Christina Hernandez
• Rachel Snider Hernandez, NP-C

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.