Work It Out Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WORK IT OUT WELLNESS

Practice address

313 Dividend Dr Ste 300
Peachtree City, GA 30269-1934

Phone

(404) 738-0406

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Angelique Soulakos, LPCNPI 1407421233

Title

Founder & Director

Phone

(770) 344-7208

Specialties & licenses 1

Addresses

Practitioners 1

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

• Angelique Soulakos, MA, LPC

  • Mental Health Counselor
  • Peachtree City, GA
  • NPI 1407421233
  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1659138238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 DIVIDEND DR STE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 DIVIDEND DR STE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691934",
            "telephone_number": "404-738-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Whitlock Pl SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300643164",
            "country_code": "US",
            "telephone_number": "404-738-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WORK IT OUT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SOULAKOS",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "770-344-7208",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.