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LILAC WELLNESS AND SPA
NPI 1750075776
Nurse Practitioner - Psychiatric/Mental Health in Tucker, GA

Active since June 05, 2023
1841 MONTREAL RD STE 111, TUCKER, GA 30084(470) 871-9105 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lilac Wellness And Spa NPPES

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

LILAC WELLNESS AND SPA (NPI 1750075776) is a healthcare organization registered as a psychiatric/mental health in Tucker, Georgia and active in the NPI registry since June 2023. The organization lists Lola Ogunniyi, President, as its authorized official.

NPPES Registry Identity

NPI1750075776
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLILAC WELLNESS AND SPA LLC
Location Address1841 MONTREAL RD STE 111Tucker, GA 30084-5712
Mailing Address3050 Five Forks Trickum Rd Sw Ste D454Lilburn, GA 30047-1810 · (470) 871-9105
Phone(470) 871-9105
Organization SubpartNo
Authorized OfficialLola OgunniyiPresident · (404) 725-8455
Enumeration DateJune 5, 2023
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1750075776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
1841 MONTREAL RD STE 111, Tucker, GA 30084
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Other Names 1

Other NameLilac Wellness And Spa

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

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

LOLA OGUNNIYI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1841 MONTREAL RD STE 111
TUCKER, GA 30084
Dekalb County (404) 725-8455

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 Lilac Wellness And Spa LLC's NPI number?

The NPI number for Lilac Wellness And Spa LLC is 1750075776. It was assigned to this organization in the NPPES registry on June 5, 2023. The provider is also known as Lilac Wellness And Spa.

Where is Lilac Wellness And Spa LLC located?

Lilac Wellness And Spa LLC is located at 1841 Montreal Rd Ste 111, Tucker, GA 30084. The listed phone number is (470) 871-9105.

What is Lilac Wellness And Spa LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lilac Wellness And Spa LLC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.