PEACHTREE TOTAL WELLNESS LLC NPI 1023779733

NPI Information

  • NPI: 1023779733
  • Provider Name: PEACHTREE TOTAL WELLNESS LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 100 GOVERNORS TRCE STE 108
    PEACHTREE CITY, GA
    ZIP 30269
  • Phone: (817) 966-2764

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NPI Details

PEACHTREE TOTAL WELLNESS LLC is a rehabilitation and substance use disorder clinic center in Peachtree City, GA. PEACHTREE TOTAL WELLNESS LLC NPI is 1023779733. The provider is registered as an organization entity type.

The provider's business location address is:

100 GOVERNORS TRCE STE 108
PEACHTREE CITY, GA
ZIP 30269-853
Phone: (817) 966-2764

The provider's authorized official is Terri Edwards .
The authorized official title is Vp Of Revenue Strategy and has the following contact phone number (817) 966-2764.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 1/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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