Organization Active NPI

Allied Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dunwoody, GA
National Provider Identifier
1508612425
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALLIED WELLNESS LLC
Practice address
5579 Chamblee Dunwoody Rd Ste B
Dunwoody, GA 30338-4100
Phone
(678) 478-8812
NPI assigned
Apr 30, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Brian CunninghamNPI 1558116277
Title
LPC
Phone
(678) 478-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5579 Chamblee Dunwoody Rd Ste B
Dunwoody, GA 30338-4100

Mailing address

5579 Chamblee Dunwoody Rd Ste B
Dunwoody, GA 30338-4100
Phone (678) 478-8812

National Provider Directory

National Provider Directory

Locations

5579 Chamblee Dunwoody Rd
Ste B
Dunwoody, GA 30338
Phone (470) 451-3341

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.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1508612425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 CHAMBLEE DUNWOODY RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384100",
            "telephone_number": "678-478-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 CHAMBLEE DUNWOODY RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384100",
            "telephone_number": "678-478-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "678-478-8812"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.