Resilient Minds Behavioral Health and Wellness Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RESILIENT MINDS BEHAVIORAL HEALTH AND WELLNESS INC

Practice address

2230 Towne Lake Pkwy
Building 1000, Ste. 130
Woodstock, GA 30189-5584

Phone

(678) 644-0997

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Kellye Marie Mills, LPCNPI 1336901800

Title

Clinical Director

Phone

(678) 481-3315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Kellye Marie Mills, LPC, NCC

  • Professional Counselor
  • Canton, GA
  • NPI 1336901800
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1639965379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY",
            "address_2": "BUILDING 1000, STE. 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895584",
            "telephone_number": "678-644-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY",
            "address_2": "BUILDING 1000, STE. 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895584",
            "telephone_number": "678-644-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MINDS BEHAVIORAL HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "KELLYE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-481-3315",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.