Home of Wellness Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOME OF WELLNESS COUNSELING SERVICES, LLC

Practice address

5436 Riverdale Rd Ste 125C
College Park, GA 30349-6938

Phone

(470) 240-1556

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Shameia Nicole Mixon, LPCNPI 1760981195

Title

Owner/Psychotherapist

Phone

(404) 936-4030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shameia Nicole Mixon, LPC, NCC

  • Professional Counselor
  • Fairburn, GA
  • NPI 1760981195
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1982274403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5436 RIVERDALE RD STE 125C",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496938",
            "telephone_number": "470-240-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 RIVERDALE RD STE 125C",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496938",
            "telephone_number": "470-240-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF WELLNESS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "SHAMEIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-936-4030",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assata Hill
• Melantha Deon Hill, NURSE AIDE
• Francis Mary Hodgdon, P.T.
• Cindy Holcombe
• Andrew Holiday III
• Lashandra Hopson, NURSE PRACTIONER
• Raashida Howard
• John Huffines, L/ATC
• Timothy Lyn Hunsucker, M.D.
• Toni-Ann Hunter

• Professional Counselor in College Park, GA
• Providers in College Park, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.