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INTEGRATED WELLNESS OUTREACH, LLC
NPI 1104194687
Counselor - Professional in Decatur, GA

Active since December 12, 2011
544 MEDLOCK RD, SUITE 106, DECATUR, GA 30030(678) 400-2053 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Wellness Outreach, Llc NPPES

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

INTEGRATED WELLNESS OUTREACH, LLC (NPI 1104194687) is a healthcare organization registered as a professional in Decatur, Georgia and active in the NPI registry since December 2011. The organization lists Rashida Thomas, Therapist, as its authorized official.

NPPES Registry Identity

NPI1104194687
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameINTEGRATED WELLNESS OUTREACH, LLC
Location Address544 MEDLOCK RD, SUITE 106Decatur, GA 30030-1515
Mailing Address544 Medlock Rd, Suite 106Decatur, GA 30030-1515 · (678) 400-2053
Phone(678) 400-2053
Organization SubpartNo
Authorized OfficialRashida ThomasTherapist · (678) 400-2053
Enumeration DateDecember 12, 2011
✔ NPI 1104194687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC006469
544 MEDLOCK RD, Decatur, GA 30030
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

JANA GLASS LPC
Counselor (Mental Health)
544 MEDLOCK RD, SUITE 112
DECATUR, GA 30030
Dekalb County (404) 307-4917
MAGDA TEVDORADZE LPC
Counselor (Professional)
544 MEDLOCK RD
DECATUR, GA 30030
Dekalb County (678) 641-0405
MS. JAYNE E SMITH LPC
Counselor (Mental Health)
544 MEDLOCK RD, STE 112
DECATUR, GA 30030
Dekalb County (404) 310-8811
AMY ELLEN GOCH PH.D.
Psychologist (Clinical)
544 MEDLOCK RD, SUITE 104
DECATUR, GA 30030
Dekalb County (404) 378-1210
MS. LINDA K. CLOFINE LCSW
Social Worker (Clinical)
544 MEDLOCK RD, STE. 106
DECATUR, GA 30030
Dekalb County (404) 377-5727
ROY NEIL JOHNSTON M.D.
Psychiatry & Neurology (Psychiatry)
544 MEDLOCK RD
DECATUR, GA 30030
Dekalb County (404) 378-0330
R. NEIL JOHNSTON, MD, LLC
Psychiatry & Neurology (Psychiatry)
544 MEDLOCK RD
DECATUR, GA 30030
Dekalb County (404) 378-0330
TYNEISHA HARRIS LPC, CPCS, NCC
Counselor
544 MEDLOCK RD, SUITE 106
DECATUR, GA 30030
Dekalb County (404) 579-2669

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 Integrated Wellness Outreach, LLC's NPI number?

The NPI number for Integrated Wellness Outreach, LLC is 1104194687. It was assigned to this organization in the NPPES registry on December 12, 2011.

Where is Integrated Wellness Outreach, LLC located?

Integrated Wellness Outreach, LLC is located at 544 Medlock Rd Suite 106, Decatur, GA 30030. The listed phone number is (678) 400-2053.

What is Integrated Wellness Outreach, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Integrated Wellness Outreach, LLC was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.