LIVE WELL BEHAVIORAL MEDICINE P.C.
NPI 1770204349
Nurse Practitioner - Psychiatric/Mental Health in Woodstock, GA

Active since September 12, 2022
4390 EARNEY RD STE 140, WOODSTOCK, GA 30188(678) 568-2285(706) 553-4157 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Live Well Behavioral Medicine P.c. NPPES

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

LIVE WELL BEHAVIORAL MEDICINE P.C. (NPI 1770204349) is a healthcare organization registered as a psychiatric/mental health in Woodstock, Georgia and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Marietta and lists Jamarri Rollocks, Owner, as its authorized official.

NPPES Registry Identity

NPI1770204349
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIVE WELL BEHAVIORAL MEDICINE P.C.
Location Address4390 EARNEY RD STE 140Woodstock, GA 30188-5687
Mailing Address1290 Kennestone Cir Ste D109Marietta, GA 30066-6097 · (404) 944-9425
Fax(706) 553-4157
Organization SubpartNo
Authorized OfficialJamarri RollocksOwner · (404) 944-9425
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 11, 2022
NPI 1770204349 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 ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4390 EARNEY RD STE 140, Woodstock, GA 30188

Secondary Practice Location 1

Location 11290 Kennestone Cir Ste D109Marietta, GA 30066-6097 · Phone (470) 819-1311 · Fax (678) 250-9680

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
4390 EARNEY RD STE 140
WOODSTOCK, GA 30188
Counselor (Professional)
4390 EARNEY RD STE 140
WOODSTOCK, GA 30188
Counselor (Mental Health)
4390 EARNEY RD STE 140
WOODSTOCK, GA 30188

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 Live Well Behavioral Medicine P.C.'s NPI number?

The NPI number for Live Well Behavioral Medicine P.C. is 1770204349. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Live Well Behavioral Medicine P.C. located?

Live Well Behavioral Medicine P.C. is located at 4390 Earney Rd Ste 140, Woodstock, GA 30188. The listed phone number is (678) 568-2285.

What is Live Well Behavioral Medicine P.C.'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 Live Well Behavioral Medicine P.C. was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.