ACTIVATING WELLNESS WITHIN, LLC (NPI# 1568959591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568959591 |
| Entity Type | Organization |
| Organization Name | ACTIVATING WELLNESS WITHIN, LLC |
| Practice Address |
4153 Flat Shoals Pkwy Ste 324-a Decatur GA 30034-4106 |
| Practice Telephone | 4046459292 |
| Mailing Telephone | 4046459292 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | DR. KENIKA HOLLOWAY (OWNER) |
| Authorized Official Telephone | 4046459292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
006307 | GA | Ambulatory Health Care Facilities |
| Street Address |
4153 FLAT SHOALS PKWY STE 324-A |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
| 1396209284 | Sdh Counseling, LLC | Clinic/Center | 2784 N Decatur Rd Ste 145, Decatur, GA 30033-5903 | 2019-01-25 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1235527524 | Heritage Behavioral Health Center, Inc | Clinic/Center | 327 W Prairie Ave, Decatur, IL 62522-2444 | 2015-01-08 |
| 1891051579 | Region Ten Commission On Mental Health | Clinic/Center | 92 South 6th Avenue, Decatur, MS 39327-0092 | 2012-04-06 |
| 1326352048 | Bates Behavioral Service | Clinic/Center | 1401 Carter Rd, Decatur, GA 30030-4608 | 2010-08-05 |
| 1215561675 | Leikam Therapy and Consulting LLC | Clinic/Center | 118 E Maple St, Decatur, GA 30030-3314 | 2020-02-25 |
| 1538706429 | The Fountain of Hope Counseling Services,llc | Clinic/Center | 755 Commerce Dr Ste 903, Decatur, GA 30030-2624 | 2019-12-10 |
| 1730645680 | Your Journey Counseling of Decatur, LLC | Clinic/Center | 108 E Ponce De Leon Ave Ste 206, Decatur, GA 30030-2512 | 2019-02-15 |
| 1043781347 | Barbara Lewison, Lcsw, LLC | Clinic/Center | 209b Swanton Way Ste 104, Decatur, GA 30030-3271 | 2018-12-11 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.