Sankofa Wellness Group

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SANKOFA WELLNESS GROUP

Practice address

2001 Martin Luther King Jr Dr SW Ste 201
Atlanta, GA 30310-1101

Phone

(404) 476-5498

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Desirea Russell, MS, LPCNPI 1417465527

Title

Ceo

Phone

(678) 709-8002

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Desirea Russell, MS, MBA, CRC, LPC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1417465527
  NPD Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750805875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 LAKE ROYALE DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961896",
            "telephone_number": "678-709-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW STE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-476-5498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8305 Office Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301346935",
            "country_code": "US",
            "telephone_number": "404-333-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8455 GA-85 Bldg B",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "30274",
            "country_code": "US",
            "telephone_number": "678-709-8002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Glenridge Stratford Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303424942",
            "country_code": "US",
            "telephone_number": "404-333-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANKOFA WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DESIREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-709-8002",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhyana Sankar, MD
• Priya Sankaran
• Kelly Amanda Sankeu Ngassam, MD
• Neal Sankhla, M.D.
• Tina Sankhla, MD
• Victoria Nicole Sanna, NP
• Bhagya Sannananja, M.D.
• Ibrahim Omobola Sanni
• Kathleen Kapolka Sanon, PAAA
• Mamadou Sanon

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.