Dallas Ivy Therapy and Wellness Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DALLAS IVY THERAPY AND WELLNESS SERVICES

Practice address

298 Northwind Dr
Stockbridge, GA 30281-6216

Phone

(404) 934-8428

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lawanda Owens, LPC, CPCS

Title

Owner

Phone

(404) 934-8428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1477320885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 NORTHWIND DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816216",
            "telephone_number": "404-934-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 NORTHWIND DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816216",
            "telephone_number": "404-934-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS IVY THERAPY AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-934-8428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sha'Derica Aleisjah Cunningham, BCBA
• Cura Wound Care LLC
• Tajhae Nicole Curinton, LPC
• Evan Chase D'Hollosy, CAA
• Hank R. Dallam, DMD
• Alexandria Starlite Daly
• Sinaya Janae Pearl Dames
• Randolph Charles Daniel, DDS
• Danielle L Luckett
• Kabir Kumar Das, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.