Georgia Center for Health, Wellness, and Recovery Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GEORGIA CENTER FOR HEALTH, WELLNESS, AND RECOVERY INC

Practice address

1500 Klondike Rd SW
Suite a-104
Conyers, GA 30094-5179

Phone

(678) 768-1214

Fax

(404) 484-8835

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Halisi Edwards-Staten

Title

Ceo

Phone

(678) 768-1214

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.

• Halisi Jacqueline Edwards, PSY.D.

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1881610673
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1861705329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6964 HARBOR TOWN WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875467",
            "telephone_number": "678-768-1214",
            "fax_number": "404-484-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 KLONDIKE RD SW",
            "address_2": "SUITE A-104",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945179",
            "telephone_number": "678-768-1214",
            "fax_number": "404-484-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CENTER FOR HEALTH, WELLNESS, AND RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS-STATEN",
        "authorized_official_first_name": "HALISI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-768-1214",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Isshak,LLC
• Nicholas Wade George, MD
• Georgeia Internal Medicine
• Georgia Cancer Spec Lab LLC
• Georgia Cancer Specialists I PC
• Georgia CVS Pharmacy LLC (CVS Pharmacy #17254)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04694)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04542)
• Georgia Dental Outreach PC (Help A Child Smile)
• Georgia Health & Wellness Transportation LLC

• Community/Behavioral Health Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.