NPIMap

Organization Active NPI

Comprehensive Wellness Center

  • Community/Behavioral Health Agency
  • Savannah, GA
National Provider Identifier
1750749255
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7862 Issued in NC
Legal business name
COMPREHENSIVE WELLNESS CENTER
Practice address
16 Twin Oaks PL
Savannah, GA 31407-5100
Phone
(334) 470-9395
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Stephanie Ann Kraczkowski, MAED
Title
Counselor, LPC
Phone
(334) 470-9395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7862 NC Primary

Addresses

Primary practice location

16 Twin Oaks PL
Savannah, GA 31407-5100

Mailing address

16 Twin Oaks PL
Savannah, GA 31407-5100
Phone (334) 470-9395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1750749255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TWIN OAKS PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314075100",
            "telephone_number": "334-470-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TWIN OAKS PL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314075100",
            "telephone_number": "334-470-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "KRACZKOWSKI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR, LPC",
        "authorized_official_telephone_number": "334-470-9395",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.