Wise Woman Embodied LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WISE WOMAN EMBODIED LLC

Practice address

1820 The Exchange SE Ste 550
Atlanta, GA 30339-2088

Phone

(404) 913-1496

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Tzipporah Gerson-Miller, LCSWNPI 1013260504

Title

Owner/Psychotherapist

Phone

(404) 913-1496

Specialties & licenses 1

Addresses

Other names 1

• Wise Woman Embodied LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tzipporah R Gerson-Miller, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1013260504
  NPD Authorized official

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1609680057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 RIVERLOOK PKWY SE UNIT 207",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674523",
            "telephone_number": "706-424-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 THE EXCHANGE SE STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392088",
            "telephone_number": "404-913-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE WOMAN EMBODIED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "GERSON-MILLER",
        "authorized_official_first_name": "TZIPPORAH",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-913-1496",
        "authorized_official_credential": "LCSW"
    },
    "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": [
        {
            "organization_name": "Wise Woman Embodied LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• F. Catharine Wirth, L.C.S.W., M.A.
• Wisdom House of Wellness LLC
• Dacia Malisse Wisdom
• Matthew Wisdom, MD
• Wise Nest Home Care LLC
• Wise Works Support Services
• Anna Wise, PHD
• Jaleel T. Wise
• Jocelyn Tang Chen Wise, LCSW
• Sade Wise, PHARM.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

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

Verify at the official NPI Registry.