Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

INDIGO MOON WELLNESS
NPI 1619874336
Marriage & Family Therapist in Fayetteville, GA

Active since October 26, 2026
135 FOREST HALL PL, FAYETTEVILLE, GA 30214(470) 781-4229 Get Directions Write a Review

NPPES record added: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Indigo Moon Wellness NPPES

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

INDIGO MOON WELLNESS (NPI 1619874336) is a healthcare organization registered as a marriage & family therapist in Fayetteville, Georgia and active in the NPI registry since October 2026. The organization lists Sharita Everett, Owner, as its authorized official.

NPPES Registry Identity

NPI1619874336
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameINDIGO MOON WELLNESS
Location Address135 FOREST HALL PLFayetteville, GA 30214-4080
Mailing Address135 Forest Hall PlFayetteville, GA 30214-4080
Organization SubpartNo
Authorized OfficialSharita EverettOwner · (470) 781-4229
Enumeration DateOctober 26, 2026
NPPES CertifiedOctober 25, 2026
✔ NPI 1619874336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
135 FOREST HALL PL, Fayetteville, GA 30214

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

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

Counselor (Mental Health)
135 FOREST HALL PL
FAYETTEVILLE, GA 30214

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 Indigo Moon Wellness's NPI number?

The NPI number for Indigo Moon Wellness is 1619874336. It was assigned to this organization in the NPPES registry on October 26, 2026.

Where is Indigo Moon Wellness located?

Indigo Moon Wellness is located at 135 Forest Hall Pl, Fayetteville, GA 30214. The listed phone number is (470) 781-4229.

What is Indigo Moon Wellness's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Indigo Moon Wellness was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.