National Provider Identifier Database

PSYCHIATRY AND WELLNESS OF GEORGIA LLC
Psychiatric/Mental Health, Child & Family


Contact Information

PSYCHIATRY AND WELLNESS OF GEORGIA, LLC
620 COLONIAL PARK DR STE 100
ROSWELL, GA30075-3746
Phone: 678-439-0017
Fax: 678-884-0761
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Family 364SP0810X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for PSYCHIATRY AND WELLNESS OF GEORGIA, LLC

NPI Number 1528774916
Legal business name
LBN
PSYCHIATRY AND WELLNESS OF GEORGIA, LLC
Authorized official JOHN KANYUIRA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/30/2023
Last updated 12/31/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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