IBORI COUNSELING & WELLNESS, LLC
NPI 1104602556
Counselor - Professional in Atlanta, GA

Active since September 01, 2023
285 W WIEUCA RD NE # 4260, ATLANTA, GA 30342(404) 852-0794 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About IBORI COUNSELING & WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Ibori Counseling & Wellness, Llc, a provider established in Atlanta, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104602556 assigned on September 2023. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Ibori Counseling & Wellness, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Georcol Gomillion Lpc (Owner/ceo)

NPI
1104602556 Verify this NPI
Provider Name
IBORI COUNSELING & WELLNESS, LLC
Entity Type
Organization
Location Address
285 W WIEUCA RD NE # 4260 ATLANTA, GA 30342
Location Phone
(404) 852-0794
Mailing Address
285 W WIEUCA RD NE # 4260 ATLANTA, GA 30342
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2023
Last Update Date
09-01-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEORCOL GOMILLION LPC

Authorized Official Title
OWNER/CEO
Authorized Official Phone
(404) 852-0794

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
285 W WIEUCA RD NE # 4260
ATLANTA, GA 30342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104602556, enumerated as an "organization" on September 01, 2023.

The provider is located at 285 W WIEUCA RD NE # 4260 ATLANTA, GA 30342 and the phone number is (404) 852-0794.

Counselor with taxonomy code 101YP2500X and a focus in Professional.