WELLNESS SOLUTION 360 NPI 1801552831

NPI Information

  • NPI: 1801552831
  • Provider Name: WELLNESS SOLUTION 360
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2810 PEACHTREE INDUSTRIAL BLVD STE D
    DULUTH, GA
    ZIP 30097
  • Phone: (470) 785-0294

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NPI Details

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 and is a multi-specialty group.

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 D Freeman .
The authorized official title is Founder, Nurse Practitioner and has the following contact phone number (470) 261-1010.

The enumeration date for this NPI number is 11/14/2021 and was last updated on 11/13/2024.

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
2251E00000XHome HealthNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4363LF0000XNurse PractitionerFamilyNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
1003213914AMEDICAIDGEORGIA

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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