Brazen Wellness LLC

Organization Active NPI Health Educator · Peachtree Corners, GA

NPI 1316804164 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1316804164
Entity type
Organization (NPI type 2)
Primary specialty
Health Educator 174H00000X
Legal business name
BRAZEN WELLNESS LLC
Practice address
3144 Rock Port Cir
Peachtree Corners, GA 30092-2738
Phone
(678) 234-3328
NPI assigned
Jan 5, 2026
Organization subpart
No

Authorized official

Name
Jennifer D Johnson
Title
Member
Phone
(678) 234-3328

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist
Group: 193200000X MULTI-SPECIALTY GROUP
133N00000X
Health Educator
Group: 193200000X MULTI-SPECIALTY GROUP
174H00000X Yes
Public Health & General Preventive Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2083P0901X
Kinesiotherapist
Group: 193200000X MULTI-SPECIALTY GROUP
226300000X

Addresses

Primary practice location

3144 Rock Port Cir
Peachtree Corners, GA 30092-2738

Mailing address

3144 Rock Port Cir
Peachtree Corners, GA 30092-2738
Phone (678) 234-3328

Other providers in Peachtree Corners, GA

All providers in Peachtree Corners, GA · Health Educator in Georgia

Sources for this page

Verify at the official NPI Registry.