KAIROVA WELLNESS CENTER LLC NPI 1285578864

NPI Information

  • NPI: 1285578864
  • Provider Name: KAIROVA WELLNESS CENTER LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 650 MOUNT ZION RD STE A
    JONESBORO, GA
    ZIP 30236
  • Phone: (470) 202-0415

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NPI Details

KAIROVA WELLNESS CENTER LLC is a mental health counselor in Jonesboro, GA. KAIROVA WELLNESS CENTER LLC NPI is 1285578864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

650 MOUNT ZION RD STE A
JONESBORO, GA
ZIP 30236-560
Phone: (470) 202-0415

The provider's authorized official is Shanequa Pierce .
The authorized official title is Owner and has the following contact phone number (470) 202-0438.

The enumeration date for this NPI number is 4/15/2026 and was last updated on 4/15/2026.

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
1101Y00000XCounselorNo
2103TC2200XPsychologistClinical Child & AdolescentNo
3103TP2701XPsychologistGroup PsychotherapyNo
4101YM0800XCounselorMental 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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