KINGSTON WELLNESS RETREAT LLC
NPI 1497551337
Psychiatric Residential Treatment Facility in Kingston, GA
About Kingston Wellness Retreat Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINGSTON WELLNESS RETREAT LLC (NPI 1497551337) is a healthcare organization registered as a psychiatric residential treatment facility in Kingston, Georgia and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Danielle Craig, Vp Facility Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2325245
Kingston Wellness Retreat · Kingston, GAFrequently 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 Kingston Wellness Retreat LLC's NPI number?
The NPI number for Kingston Wellness Retreat LLC is 1497551337. It was assigned to this organization in the NPPES registry on February 21, 2025.
Where is Kingston Wellness Retreat LLC located?
Kingston Wellness Retreat LLC is located at 45 E Howard St, Kingston, GA 30145. The listed phone number is (561) 797-3264.
What is Kingston Wellness Retreat LLC's specialty?
The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.
Does Kingston Wellness Retreat LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2325245) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kingston Wellness Retreat LLC was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.