Organization Active NPI

Kula Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, GA
National Provider Identifier
1902542202
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KULA WELLNESS INC
Doing business as
Kula Wellness Group
Practice address
1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250
Phone
(678) 522-5232
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Ms. Amber Amick, LPC, NCCNPI 1144994385
Title
Owner/President
Phone
(678) 522-5232

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250

Mailing address

4860 Bush Rd
Peachtree Corners, GA 30096-2912
Phone (678) 522-5232

Other practice location 1

5950 Crooked Creek Rd Ste 140-J
Peachtree Corners, GA 30092-2406
Phone (678) 522-5232

Other names 1

  • Kula Wellness Group Doing business as

National Provider Directory

National Provider Directory

Locations

1244 Clairmont Rd
Ste 102
Decatur, GA 30030
Phone (678) 235-8968

5950 Crooked Creek Rd
Ste 140J
Peachtree Corners, GA 30092
Phone (678) 522-5232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1902542202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 BUSH RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300962912",
            "telephone_number": "678-522-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301250",
            "telephone_number": "678-522-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 Crooked Creek Rd Ste 140-J",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300922406",
            "country_code": "US",
            "telephone_number": "678-522-5232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KULA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "AMICK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-522-5232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kula Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.