Organization Active NPI

Manifested Wellness Therapeutic Services Inc

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1861172348
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MANIFESTED WELLNESS THERAPEUTIC SERVICES INC
Practice address
2480 Windy Hill Rd SE Ste 210
Marietta, GA 30067-8644
Phone
(678) 631-6053
NPI assigned
Jul 20, 2023
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Adrienne WarrenNPI 1386198828
Title
Owner
Phone
(678) 631-6053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2480 Windy Hill Rd SE Ste 210
Marietta, GA 30067-8644

Mailing address

2451 Cumberland Pkwy SE Ste 3423
Atlanta, GA 30339-6136
Phone (678) 631-6053

National Provider Directory

National Provider Directory

Locations

1830 Water Pl SE
Ste 215A
Atlanta, GA 30339
Phone (678) 631-6053

2451 Cumberland Pkwy SE
Ste 3423
Atlanta, GA 30339

2480 Windy Hill Rd SE
Ste 210
Marietta, GA 30067
Phone (404) 692-3615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1861172348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE STE 3423",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "678-631-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678644",
            "telephone_number": "678-631-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTED WELLNESS THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-631-6053"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.