Provider Demographics
NPI:1114713526
Name:UNLAYERED HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:UNLAYERED HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:O
Authorized Official - Last Name:OMODELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-502-6080
Mailing Address - Street 1:2535 DALLAS HWY SW STE B
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-2662
Mailing Address - Country:US
Mailing Address - Phone:470-502-6080
Mailing Address - Fax:877-244-9749
Practice Address - Street 1:2535 DALLAS HWY SW STE B
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-2662
Practice Address - Country:US
Practice Address - Phone:470-502-6080
Practice Address - Fax:877-244-9749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty