Active NPI
Lifepath Wellness, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
National Provider Identifier
1922868983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LIFEPATH WELLNESS, LLC
- Practice address
- 1100 Howell Mill Rd NW Unit 613
Atlanta, GA 30318-8649 - Phone
- (943) 457-2059
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bradley Jones, LPC
- Title
- Founder and Ceo
- Phone
- (943) 457-2059
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1100 Howell Mill Rd NW Unit 613
Atlanta, GA 30318-8649
Mailing address
1441 Woodmont LN NW # 2496
Atlanta, GA 30318-2866
Phone (943) 457-2059
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Atlanta, GA
- NPI 1609185123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1922868983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 WOODMONT LN NW # 2496",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182866",
"telephone_number": "943-457-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 HOWELL MILL RD NW UNIT 613",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303188649",
"telephone_number": "943-457-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEPATH WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "FOUNDER AND CEO",
"authorized_official_telephone_number": "943-457-2059",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.