VIDA COUNSELING AND WELLNESS NPI 1053248211

NPI Information

  • NPI: 1053248211
  • Provider Name: VIDA COUNSELING AND WELLNESS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 313 N SELVIDGE ST STE 302
    DALTON, GA
    ZIP 30720
  • Phone: (706) 280-3214

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NPI Details

VIDA COUNSELING AND WELLNESS is a mental health counselor in Dalton, GA. VIDA COUNSELING AND WELLNESS NPI is 1053248211. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

313 N SELVIDGE ST STE 302
DALTON, GA
ZIP 30720-101
Phone: (706) 280-3214

The provider's authorized official is Keisha Marie Hernandez .
The authorized official title is Owner/therpaist and has the following contact phone number (706) 280-3214.

The enumeration date for this NPI number is 5/4/2026 and was last updated on 5/4/2026.

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
1101YM0800XCounselorMental HealthYes

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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