Organization Active NPI

Lifeworks Wellness,LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1417216979
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW002791 Issued in GA
Legal business name
LIFEWORKS WELLNESS,LLC
Practice address
3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326-1394
Phone
(678) 772-1161
Fax
(404) 504-7004
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Ms. Esther Marie Williams, LCSW
Title
Ceo/Owner
Phone
(678) 772-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW002791 GA Primary

Addresses

Primary practice location

3355 Lenox Rd NE
Ste 750
Atlanta, GA 30326-1394

Mailing address

2515 Bradford SQ NE
Atlanta, GA 30345-1338
Phone (678) 772-1161

National Provider Directory

National Provider Directory

Locations

3590 Covington Hwy
Ste B
Decatur, GA 30032
Phone (678) 772-1161

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1417216979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 BRADFORD SQ NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451338",
            "telephone_number": "678-772-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE",
            "address_2": "STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261394",
            "telephone_number": "678-772-1161",
            "fax_number": "404-504-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-772-1161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW002791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.