Organization Active NPI

Sprout to Bloom Wellness Incorporated

  • Mental Health Counselor
  • Roswell, GA
National Provider Identifier
1245078732
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SPROUT TO BLOOM WELLNESS INCORPORATED
Practice address
570 Colonial Park Dr Ste 315
Roswell, GA 30075-3771
Phone
(678) 310-5044
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mrs. Joan Michelle Coles, MS LPCNPI 1457981375
Title
Partner
Phone
(678) 310-5044

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

570 Colonial Park Dr Ste 315
Roswell, GA 30075-3771

Mailing address

570 Colonial Park Dr Ste 315
Roswell, GA 30075-3771
Phone (678) 310-5044

Other names 1

  • Sprout to Bloom Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

570 Colonial Park Dr
Ste 315
Roswell, GA 30075
Phone (404) 492-8187

1007 Mansell Rd
#A195
Roswell, GA 30076

Practitioners & affiliated clinicians

Practitioners 2

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1245078732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 COLONIAL PARK DR STE 315",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753771",
            "telephone_number": "678-310-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 COLONIAL PARK DR STE 315",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753771",
            "telephone_number": "678-310-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT TO BLOOM WELLNESS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "678-310-5044",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout to Bloom Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.