Active NPI
Manora Wellness Group, LLC
- Adult Mental Health Clinic/Center
- Jasper, AL
National Provider Identifier
1386444958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MANORA WELLNESS GROUP, LLC
- Practice address
- 304 Blackwell Dairy Rd
Jasper, AL 35504-8406 - Phone
- (205) 440-2455
- NPI assigned
- Mar 13, 2025
- Last updated
- Mar 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Errica Williams
- Title
- Founder
- Phone
- (205) 229-6160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
304 Blackwell Dairy Rd
Jasper, AL 35504-8406
Mailing address
304 Blackwell Dairy Rd
Jasper, AL 35504-8406
National Provider Directory
National Provider DirectoryLocations
304 Blackwell Dairy Rd
Jasper, AL 35504
Phone (205) 384-4801
Practitioners & affiliated clinicians
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.
-
- Social Worker
- Hoover, AL
- NPI 1588397608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1386444958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 BLACKWELL DAIRY RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355048406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 BLACKWELL DAIRY RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355048406",
"telephone_number": "205-440-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANORA WELLNESS GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ERRICA",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "205-229-6160"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.