Provider Demographics
NPI:1154156362
Name:ATLANTA CENTER FOR WELLNESS
Entity type:Organization
Organization Name:ATLANTA CENTER FOR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:404-343-4162
Mailing Address - Street 1:ATLANTA CENTER FOR WELLNESS
Mailing Address - Street 2:6100 LAKE FORREST DRIVE SUIT 450
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328
Mailing Address - Country:US
Mailing Address - Phone:404-343-4162
Mailing Address - Fax:404-549-9316
Practice Address - Street 1:ATLANTA CENTER FOR WELLNESS
Practice Address - Street 2:6100 LAKE FORREST DRIVE SUIT 450
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:404-343-4162
Practice Address - Fax:404-549-9316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty