Georgia Wellness Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GEORGIA WELLNESS SERVICES LLC

Practice address

145 Laughlin Dr
Locust Grove, GA 30248-6012

Phone

(404) 604-9106

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Oyinlola Ajoke Lawson-Wnfunke

Title

President

Phone

(678) 763-5126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1710242409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LAUGHLIN DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302486012",
            "telephone_number": "404-604-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LAUGHLIN DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302486012",
            "telephone_number": "404-604-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "LAWSON-WNFUNKE",
        "authorized_official_first_name": "OYINLOLA AJOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-763-5126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.