Organization Active NPI

The Wellness Place, LLC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1275787459
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005120 Issued in GA
Legal business name
THE WELLNESS PLACE, LLC
Practice address
675 Seminole Ave NE
Suite 304
Atlanta, GA 30307-3408
Phone
(404) 446-6083
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Ms. Elaina Chance
Title
Co-Owner
Phone
(404) 446-6083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC005120 GA Primary

Addresses

Primary practice location

675 Seminole Ave NE
Suite 304
Atlanta, GA 30307-3408

Mailing address

675 Seminole Ave NE
Suite 304
Atlanta, GA 30307-3408
Phone (404) 446-6083

National Provider Directory

National Provider Directory

Locations

675 Seminole Ave NE
Ste 304
Atlanta, GA 30307
Phone (404) 446-6083

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1275787459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408",
            "telephone_number": "404-446-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE",
            "address_2": "SUITE 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073408",
            "telephone_number": "404-446-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-446-6083",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005120",
            "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 Nov 14, 2008; 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.