THE WELLNESS SHUFFLE LLC NPI 1023913134

NPI Information

  • NPI: 1023913134
  • Provider Name: THE WELLNESS SHUFFLE LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • :
  • Address: 3211 FAIRINGTON DR
    LITHONIA, GA
    ZIP 30038
  • Phone: (912) 656-3958

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NPI Details

THE WELLNESS SHUFFLE LLC is a professional counselor in Lithonia, GA. THE WELLNESS SHUFFLE LLC NPI is 1023913134. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3211 FAIRINGTON DR
LITHONIA, GA
ZIP 30038-005
Phone: (912) 656-3958

The provider's authorized official is Tashayla Keandra Williams .
The authorized official title is Co-owner, Clinical Director and has the following contact phone number (912) 656-3958.

The enumeration date for this NPI number is 10/9/2026 and was last updated on 10/9/2026.

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
1101YP2500XCounselorProfessionalYes

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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