NPIMap

Organization Active NPI

Atlanta Wellness Collective, LLC

  • Mental Health Counselor
  • Acworth, GA
National Provider Identifier
1568146397
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ATLANTA WELLNESS COLLECTIVE, LLC
Practice address
3459 Acworth Due West Rd NW Ste 210
Acworth, GA 30101-5826
Phone
(678) 587-8858
NPI assigned
Jun 12, 2023
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Lindsay Nicole Thaxton, PHD, LPC, CPCSNPI 1821523531
Title
Founder
Phone
(678) 587-8858

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3459 Acworth Due West Rd NW Ste 210
Acworth, GA 30101-5826

Mailing address

3459 Acworth Due West Rd NW Ste 210
Acworth, GA 30101-5826
Phone (678) 587-8858

Other practice location 1

732 Kennesaw Ave NW Ste 250
Marietta, GA 30060-9420
Phone (678) 587-8858

National Provider Directory

National Provider Directory

Locations

3459 Acworth Due West Rd NW
Ste 210
Acworth, GA 30101
Phone (678) 310-4104

Practitioners & affiliated clinicians

Practitioners 11

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": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1568146397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW STE 210",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015826",
            "telephone_number": "678-587-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW STE 210",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015826",
            "telephone_number": "678-587-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "732 Kennesaw Ave NW Ste 250",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609420",
            "country_code": "US",
            "telephone_number": "678-587-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA WELLNESS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "THAXTON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-587-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.