Embers of Peace & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMBERS OF PEACE & WELLNESS LLC

Practice address

1870 The Exchange SE
Atlanta, GA 30339-2036

Phone

(943) 300-5764

NPI assigned

Aug 3, 2026

Last updated

Aug 3, 2026By 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

Latasha Rachele Jackson, MSN, APRN, PMHNP-BCNPI 1518880814

Title

Owner

Phone

(943) 300-5764

Specialties & licenses 1

Addresses

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.

• Latasha Rachele Jackson, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1518880814
  Authorized official Same address or phone

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1356264600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 THE EXCHANGE SOUTH EAST",
            "address_2": "STE 220 PMB 228776",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392036",
            "telephone_number": "943-300-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 THE EXCHANGE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392036",
            "telephone_number": "943-300-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBERS OF PEACE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "RACHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "943-300-5764",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.