WELLNESS SOLUTION 360 NPI 1801552831

NPI Information

NPI: 1801552831
Provider Name: WELLNESS SOLUTION 360
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA
ZIP 30097
Phone: (470) 785-0294
Get Directions

WELLNESS SOLUTION 360 is a psychiatric/mental health nurse practitioner in Duluth, GA. WELLNESS SOLUTION 360 NPI is 1801552831. The provider is registered as an organization entity type.

The provider's business location address is:

2810 PEACHTREE INDUSTRIAL BLVD STE D
DULUTH, GA
ZIP 30097-142
Phone: (470) 785-0294

The provider's authorized official is Pamela Freeman .
The authorized official title is Chief Executive Officer/owner and has the following contact phone number (470) 785-0294.

The enumeration date for this NPI number is 11/14/2021 and was last updated on 2/12/2024.

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	Primary
1	251E00000X	Home Health		No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003213914A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »