1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INDEPENDENTLY HEALTHY WELLNESS & COACHING LLC
NPI 1760145122
Clinic/Center - Health Service in Cumming, GA

Active since October 21, 2021
102 MARY ALICE PARK RD STE 601, CUMMING, GA 30040(470) 344-3934 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Oct 22, 2021 (2 updates tracked since 2021).

About Independently Healthy Wellness & Coaching Llc NPPES

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

INDEPENDENTLY HEALTHY WELLNESS & COACHING LLC (NPI 1760145122) is a healthcare organization registered as a health service in Cumming, Georgia and active in the NPI registry since October 2021. The organization lists Anna Kolomitseva, Ceo And Owner, as its authorized official.

NPPES Registry Identity

NPI1760145122
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameINDEPENDENTLY HEALTHY WELLNESS & COACHING LLC
Location Address102 MARY ALICE PARK RD STE 601Cumming, GA 30040-2713
Mailing Address102 Mary Alice Park Rd Ste 601Cumming, GA 30040-2713 · (470) 344-3934
Phone(470) 344-3934
Organization SubpartNo
Authorized OfficialAnna KolomitsevaCeo And Owner · (678) 787-9142
Enumeration DateOctober 21, 2021
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1760145122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
102 MARY ALICE PARK RD STE 601, Cumming, GA 30040
Open in Google Maps ↗

Other Names 1

Doing Business AsIndependently Healthy Wellness & Coaching Llc

Other Identifiers 1

Medicaid1962165498GA

Other Providers at the Same Location NPPES 7

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

MOMUMENTAL PHYSICAL THERAPY & PERFORMANCE, LLC
Clinic/Center (Physical Therapy)
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (470) 239-0132
THE PRACTICAL THERAPIST LLC
Marriage & Family Therapist
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (404) 445-8579
ALYSSA RIVES PT, DPT
Physical Therapist
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (470) 239-0132
MRS. CHARLOTTE RAMBERG LPC, NCC, PMH-C
Counselor (Mental Health)
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (678) 995-5796
CHEROKEE ROSE COUNSELING & CONSULTING, LLC
Counselor (Mental Health)
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (678) 995-5796
REBECCA KIM LMSW
Social Worker (Clinical)
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (404) 955-8463
KASSIE LOVE
Marriage & Family Therapist
102 MARY ALICE PARK RD STE 601
CUMMING, GA 30040
Forsyth County (404) 445-8579

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 Independently Healthy Wellness & Coaching LLC's NPI number?

The NPI number for Independently Healthy Wellness & Coaching LLC is 1760145122. It was assigned to this organization in the NPPES registry on October 21, 2021.

Where is Independently Healthy Wellness & Coaching LLC located?

Independently Healthy Wellness & Coaching LLC is located at 102 Mary Alice Park Rd Ste 601, Cumming, GA 30040. The listed phone number is (470) 344-3934.

What is Independently Healthy Wellness & Coaching LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Independently Healthy Wellness & Coaching LLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.