Black Butterfly Queens Life Coaching LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

BLACK BUTTERFLY QUEENS LIFE COACHING LLC

Practice address

320 Lanier Ave W Ste 240
Fayetteville, GA 30214-7547

Phone

(770) 282-9323

NPI assigned

Jan 25, 2023

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Demetria Yvette Winters, RN

Title

Owner

Phone

(770) 282-9323

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1659087351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 HIGHWAY 138 SW # 1066",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961402",
            "telephone_number": "770-282-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LANIER AVE W STE 240",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147547",
            "telephone_number": "770-282-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BUTTERFLY QUEENS LIFE COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-282-9323",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasqueal Bigoms Sr., CHIROPRACTOR
• Mojishola Omowumi Bilewu, MD
• Kenneth B Bingham, PA
• Karen Donna Bisgay-Dehan, PSY.D.
• Chase Benson Bishop
• Martha Lauren Blaides, BSW
• Shineille Blair, DDS
• Robert Edward Blake, D.D.S.,M.S.
• Beverly Blakely, PT
• Chena Blanchard, LPC

• Health & Wellness Coach in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.