COMMUNITY WELLNESS AND INTERVENTION NPI 1578318689

NPI Information

  • NPI: 1578318689
  • Provider Name: COMMUNITY WELLNESS AND INTERVENTION
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 500 LANIER AVE W
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (520) 524-6084

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NPI Details

COMMUNITY WELLNESS AND INTERVENTION is a primary care clinic center in Fayetteville, GA. COMMUNITY WELLNESS AND INTERVENTION NPI is 1578318689. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 LANIER AVE W
FAYETTEVILLE, GA
ZIP 30214-636
Phone: (520) 524-6084

The provider's authorized official is Sheonkei M Givner .
The authorized official title is Owner and has the following contact phone number (614) 500-4150.

The enumeration date for this NPI number is 4/22/2024 and was last updated on 4/22/2024.

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 HealthNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
42084A0401XPsychiatry & NeurologyAddiction MedicineNo
5251S00000XCommunity/Behavioral HealthNo
6261QM1300XClinic/CenterMulti-SpecialtyNo
7261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

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