Wellness & Renewal Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLNESS & RENEWAL COUNSELING CENTER, LLC

Practice address

126 Enterprise Path Ste 205
Hiram, GA 30141-2654

Phone

(678) 556-5166

Fax

(678) 556-5675

NPI assigned

Oct 24, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Virginia Puckett, LPCNPI 1316433774

Title

Owner & Provider

Phone

(678) 556-5166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia Louise Puckett, LPC

  • Professional Counselor
  • Hiram, GA
  • NPI 1316433774
  NPD Authorized official

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1346118080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH STE 205",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412654",
            "telephone_number": "678-556-5166",
            "fax_number": "678-556-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ENTERPRISE PATH STE 205",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412654",
            "telephone_number": "678-556-5166",
            "fax_number": "678-556-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS & RENEWAL COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER & PROVIDER",
        "authorized_official_telephone_number": "678-556-5166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003244600B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hiram, GA
• Providers in Hiram, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.