Organization Active NPI

The Wellness Sanctuary, Inc

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1245860816
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
THE WELLNESS SANCTUARY, INC
Doing business as
The Wellness Sanctuary
Practice address
206 Rogers St NE Apt 117
Atlanta, GA 30317-1035
Phone
(678) 856-3864
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Ms. Tiana Allen, CLTNPI 1740802339
Title
Owner
Phone
(678) 856-3864

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

206 Rogers St NE Apt 117
Atlanta, GA 30317-1035

Mailing address

206 Rogers St NE Apt 117
Atlanta, GA 30317-1035
Phone (678) 856-3864

Other names 1

  • The Wellness Sanctuary Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1245860816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ROGERS ST NE APT 117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171035",
            "telephone_number": "678-856-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ROGERS ST NE APT 117",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171035",
            "telephone_number": "678-856-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS SANCTUARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-856-3864",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CLT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Sanctuary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 22, 2020; 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.