Mother S Love PWH PLLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

MOTHER S LOVE PWH PLLC

Practice address

4301 Reserve Dr NE
Brookhaven, GA 30319-5919

Phone

(470) 237-6708

NPI assigned

Jun 14, 2021

Last updated

Aug 4, 2021By 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

Persaphone Harris, NURSE PRACTITIONER

Title

Owner

Phone

(470) 237-6708

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1932777315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 RESERVE DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 RESERVE DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195919",
            "telephone_number": "470-237-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER S LOVE PWH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PERSAPHONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-237-6708",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pharris@motherslovepwh.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "work email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "4301 Reserve Dr NE",
            "city": "Brookhaven",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303195919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brenda Montero, RBT
• Andres Montoya, RBT
• Shayna Moore, RBT
• Amy Moreno
• Aaliyah Morgan, RBT
• Moultrie Medical PC
• Movement Matters LLC
• Carolyn Suzanne Mueller, MS, RDN, LD, CDE
• Allyssah Mullis, RBT
• Anna Jayde Mullis, M.ED, LAPC

• Wound Care Registered Nurse in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Wound Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.