Wonder Lives Foundation, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WONDER LIVES FOUNDATION, INC.

Practice address

181 Saratoga Dr
Lawrenceville, GA 30044-4386

Phone

(404) 543-3253

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Elsa Mann

Title

Ceo

Phone

(404) 543-3253

Specialties & licenses 1

Addresses

Other names 1

• Wonder Lives Rehab Center Doing business as

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1689446981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SARATOGA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444386",
            "telephone_number": "404-543-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SARATOGA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444386",
            "telephone_number": "404-543-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER LIVES FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-543-3253"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonder Lives Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley Shane Wolfer, PA-C, RRT
• Women'S Healthcare Consultants of Gwinnett, PC
• Women'S Imaging Specialists - Gwinnett, LLC
• Women'S Imaging Specialists - Lawrenceville, LLC
• Women'S Specialist of North Georgia
• Wonderfully Nutritious Solutions, LLC
• Rosalinda Wong
• Isaiah Wood
• Jackson Woodall
• Justin Woods, MD

• Community/Behavioral Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.