Mia Wolfrey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIA WOLFREY, LCSW

Doing business as

Mimi Love and Consultants

Practice address

4649 Liberty Square Dr
Acworth, GA 30101-4968

Phone

(470) 382-8420

NPI assigned

Apr 8, 2021

Organization subpart

Yes

Parent organization

THE WESLEY CENTER FOR BEHAVIORAL WELLNESSAs reported in NPPES

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

Authorized official

Name

Ms. Mia Malika Wolfrey, LCSW

Title

Principal

Phone

(470) 772-0740

Specialties & licenses 1

Addresses

Other names 1

• Mimi Love and Consultants Doing business as

Part of

The Wesley Center for Behavioral Wellness

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Wesley Center for Behavioral Wellness

  • Clinical Social Worker
  • Hiram, GA
  • NPI 1326590357
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adenike O Adeyanju, LCSW

  • Clinical Social Worker
  • Powder Springs, GA
  • NPI 1649663691
  NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1356921910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 LIBERTY SQUARE DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014968",
            "telephone_number": "470-382-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 LIBERTY SQUARE DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014968",
            "telephone_number": "470-382-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA WOLFREY, LCSW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WESLEY CENTER FOR BEHAVIORAL WELLNESS",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "WOLFREY",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "MALIKA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "470-772-0740",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mimi Love and Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Melville, CF-SLP
• Stephanie Mendez
• Erika Mendoza-Rodriguez
• Victoria N Merkel, RPH
• Jeffrey S. Messina, P.T.
• Midnight Rose, LLC (AbbyCare)
• Samuel Arthur Mielcarski, PT
• Marisa Ann Mikals, D.C.
• Timothy Gerald Mikan
• Eric Miles

• Clinical Social Worker in Acworth, GA
• Providers in Acworth, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.