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WELLSTAR PEDIATRIC & FAMILY WELLNESS CENTER, LLC
NPI 1073742482
Psychologist - Clinical in Austell, GA

Active since July 07, 2009
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106(770) 634-2349(770) 819-0597 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Pediatric & Family Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSTAR PEDIATRIC & FAMILY WELLNESS CENTER, LLC (NPI 1073742482) is a healthcare organization registered as a clinical in Austell, Georgia and active in the NPI registry since July 2009. The organization lists Nicole Ashe, Asst; Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1073742482
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWELLSTAR PEDIATRIC & FAMILY WELLNESS CENTER, LLC
Location Address1810 MULKEY RD, SUITE 201Austell, GA 30106-1151
Mailing Address1810 Mulkey Rd, Suite 201Austell, GA 30106-1151 · (770) 634-2349 · Fax (770) 819-0597
Phone(770) 634-2349
Fax(770) 819-0597
Organization SubpartYesParent: Wellstar Health System
Authorized OfficialNicole AsheAsst; Vp Of Finance · (770) 792-5261
Enumeration DateJuly 7, 2009
✔ NPI 1073742482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1810 MULKEY RD, Austell, GA 30106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSTAR MEDICAL GROUP, LLC
Pediatrics
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 819-9262
NISSI FAMILY MEDICINE LLC
Family Medicine
1810 MULKEY RD, SUITE 105
AUSTELL, GA 30106
Cobb County (678) 540-7597
ATLANTA KIDNEY AND HYPERTENSION ASSOCIATES
Internal Medicine (Nephrology)
1810 MULKEY RD, SUITE 103
AUSTELL, GA 30106
Cobb County (770) 732-8464
CASCADE RADIOLOGY CONSULTANTS, PC
Radiology (Diagnostic Radiology)
1810 MULKEY RD, STE 103
AUSTELL, GA 30106
Cobb County (770) 980-8970
AUTUMN ROSS CPNP
Pediatrics
1810 MULKEY RD
AUSTELL, GA 30106
Cobb County (770) 819-9262
WELLSTAR PEDIATRIC & ADOLESCENT CENTER, LLC
Pediatrics
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 819-9262
DR. TWANDA E LIGHTFOOT PHD
Psychologist
1810 MULKEY RD, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 634-2349
JAMES A. SEXSON, M.D. LLC
Internal Medicine
1810 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 944-0811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellstar Pediatric & Family Wellness Center, LLC's NPI number?

The NPI number for Wellstar Pediatric & Family Wellness Center, LLC is 1073742482. It was assigned to this organization in the NPPES registry on July 7, 2009.

Where is Wellstar Pediatric & Family Wellness Center, LLC located?

Wellstar Pediatric & Family Wellness Center, LLC is located at 1810 Mulkey Rd Suite 201, Austell, GA 30106. The listed phone number is (770) 634-2349.

What is Wellstar Pediatric & Family Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Wellstar Pediatric & Family Wellness Center, LLC was last updated on July 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.