Integrated Institute of Health and Wellness

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

INTEGRATED INSTITUTE OF HEALTH AND WELLNESS

Doing business as

Gray Matter Wellness Center

Practice address

982 Ga-124
Hoschton, GA 30548

Phone

(404) 960-9629

NPI assigned

May 16, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Kate Gulley

Title

Sr. VP Co-Founder

Phone

(404) 960-9629

Specialties & licenses 2

Addresses

Other names 1

• Gray Matter Wellness Center Doing business as

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.

• Darrell Anthony Reynolds, CMAC, CACII, MA

  • Addiction (Substance Use Disorder) Counselor
  • Clermont, GA
  • NPI 1972344679
  NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1922857580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 SOQUE CIR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492307",
            "telephone_number": "404-960-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 GA-124",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "30548",
            "telephone_number": "404-960-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED INSTITUTE OF HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "SR. VP CO-FOUNDER",
        "authorized_official_telephone_number": "404-960-9629",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray Matter Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gray Matter Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Hoschton, GA
• Providers in Hoschton, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.