Active NPI
Manifested Wellness Therapeutic Services Inc
- Professional Counselor
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrienne Warren
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Marietta, GA
- NPI 1386198828
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
- Ofelia S Mandock, M.D.
- Aileen I Maner, MD
- Lavanya Devdas Mangalore, LPC
- Barry D Mangel, M.D.
- Manhattan Boulevard Dental Associates, a Professional Corporation (Today's Dental Cosmetic and Family Dentistry)
- Heather Manley, BCBA
- Arthur H. Mann, PT
- Megan Mann
- Sarah Kimberly Mann, PT, MPT
- Terrence Christopher Mann, PHARMD
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.