Somatic Integrative Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

007602 Issued in GA

Legal business name

SOMATIC INTEGRATIVE THERAPY

Practice address

284 Highway 314
Fayetteville, GA 30214-7832

Phone

(470) 222-4424

NPI assigned

Jul 31, 2014

Last updated

Jul 31, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

I CHOOSE HEALTH 360 LLCAs reported in NPPES

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

Authorized official

Name

Shandrena Hadjamara Williams, LMTNPI 1023425238

Title

Ceo / Founder

Phone

(470) 222-4424

Specialties & licenses 1

Addresses

Part of

Somatic Integrative Therapy

Locations

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.

• Shandrena Williams, LMT

  • Massage Therapist
  • Smyrna, GA
  • NPI 1023425238
  Authorized official Same address or phone

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1902214141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28893",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303580893",
            "telephone_number": "470-222-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 HIGHWAY 314",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147832",
            "telephone_number": "470-222-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC INTEGRATIVE THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "I CHOOSE HEALTH 360 LLC",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANDRENA",
        "authorized_official_middle_name": "HADJAMARA",
        "authorized_official_title_or_position": "CEO / FOUNDER",
        "authorized_official_telephone_number": "470-222-4424",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "007602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veketa Harris Smith, PA-C
• Leslie Deanna Smoak, MD
• Steven Charles Snook, PH.D.
• Morgan Snyder, NP
• Solacium Living, LLC
• Somnolife, LLC
• Christine Son, MD
• Sonny Grove Consulting LLC (Success on the Spectrum - Fayetteville)
• Chionesu Sonyika, MD
• Haiba Sonyika, M.D.

• Massage Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.