NORTH ATLANTA MENTAL WELLNESS NPI 1780296533

NPI Information

  • NPI: 1780296533
  • Provider Name: NORTH ATLANTA MENTAL WELLNESS
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • CLIA Number: 11D2193344
  • Address: 1742 MOUNT VERNON RD STE 150B
    ATLANTA, GA
    ZIP 30338
  • Phone: (631) 512-1567

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NPI Details

NORTH ATLANTA MENTAL WELLNESS is an adult mental health clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NORTH ATLANTA MENTAL WELLNESS NPI is 1780296533. The provider is registered as an organization entity type.

The provider's business location address is:

1742 MOUNT VERNON RD STE 150B
ATLANTA, GA
ZIP 30338-251
Phone: (631) 512-1567

The provider's authorized official is Ryan Cierzniewski .
The authorized official title is Ceo and has the following contact phone number (631) 512-1567.

The CLIA number assigned to this NPI record is 11D2193344 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2020 and was last updated on 8/21/2020.

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
1261QP2300XClinic/CenterPrimary CareNo
2261Q00000XClinic/CenterNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QM0850XClinic/CenterAdult Mental 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: 3/30/2025

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