Organization Active NPI

Serene Reflections for Holistic Behavior Wellness,LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1801027842
Registry record updated Jun 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SERENE REFLECTIONS FOR HOLISTIC BEHAVIOR WELLNESS,LLC
Practice address
777 Cleveland Ave SW
Suite 204
Atlanta, GA 30315-7129
Phone
(404) 892-2205
Fax
(678) 594-3912
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2016

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

Authorized official

Name
Sheila Hawkins, PHD, LPC
Title
Ceo
Phone
(404) 892-2205

Specialties & licenses 1

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

Addresses

Primary practice location

777 Cleveland Ave SW
Suite 204
Atlanta, GA 30315-7129

Mailing address

777 Cleveland Ave SW
Suite 204
Atlanta, GA 30315-7129
Phone (404) 892-2205

Other identifiers 1

IdentifierTypeStateIssuer
884719779BMedicaidGA

National Provider Directory

National Provider Directory

Locations

1750 Peachtree St NW
Ste 200C
Atlanta, GA 30309
Phone (404) 892-2205

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466812800000",
    "number": "1801027842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "address_2": "SUITE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-892-2205",
            "fax_number": "678-594-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "address_2": "SUITE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-892-2205",
            "fax_number": "678-594-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE REFLECTIONS FOR HOLISTIC BEHAVIOR WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2016-06-25",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-892-2205",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884719779B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.