Infinite Health Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007231 Issued in GA

Legal business name

INFINITE HEALTH WELLNESS LLC

Practice address

1000 Corporate Pointe Ste 106
Warner Robins, GA 31088-3439

Phone

(478) 919-2454

Fax

(478) 919-4254

NPI assigned

Aug 3, 2018

Organization subpart

No

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

Authorized official

Name

Chrystal Wasden, LPCNPI 1770981383

Title

Ceo, Cfo, Coo

Phone

(478) 284-9587

Specialties & licenses 1

Addresses

Other names 1

• Infinite Health Wellness LLC Doing business as

Locations

Practitioners 2

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

• Chrystal Wasden

  • Counselor
  • Bonaire, GA
  • NPI 1770981383
  NPD Authorized official
• Haylee Ledden

  • Professional Counselor
  • Macon, GA
  • NPI 1912528571
  NPD (past)

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1659859486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 HIWASSEE DR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310052509",
            "telephone_number": "478-284-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 106",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883439",
            "telephone_number": "478-919-2454",
            "fax_number": "478-919-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE HEALTH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "WASDEN",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "CEO, CFO, COO",
        "authorized_official_telephone_number": "478-284-9587",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Health Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jameshion Lashae Ingram, LPN
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• Kourtney Ingram, AGACNP-BC
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• Professional Counselor in Warner Robins, GA
• Providers in Warner Robins, 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 3, 2018; 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.