Niche Counseling and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NICHE COUNSELING AND WELLNESS

Practice address

1400 Sever Woods Dr
Lawrenceville, GA 30043-6241

Phone

(678) 783-3311

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mollie Innocent-Cupid

Title

Owner

Phone

(848) 248-5223

Specialties & licenses 4

Addresses

Other names 1

• Zwazo Integrated Therapy Former legal business name

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1902679822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SEVER WOODS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SEVER WOODS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436241",
            "telephone_number": "678-783-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHE COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "INNOCENT-CUPID",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-248-5223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE 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": "Zwazo Integrated Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vien Xuan Nguyen, MD
• Viet Nguyen, PHARMD
• NGX Lawrenceville Ga PC
• NH Medical Consultant LLC
• Frida Niba
• Nicholas a Tiliakos MD
• Jeffrey M Nicholas, MD
• Tonita Nicole Nicholas
• Sherley Oldham Nichols, M.D.
• Anita Nieman, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.