CENTER FOR INTENTIONAL WELLNESS, LLC
NPI 1780448670
Clinic/Center - Rehabilitation, Substance Use Disorder in Norcross, GA

Q: What is Center For Intentional Wellness, LLC's NPI number?

The NPI number for Center For Intentional Wellness, LLC is 1780448670. It was assigned to this organization in the NPPES registry on February 12, 2024.

Q: What is Center For Intentional Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since February 12, 2024CLIA 11D2319994 · Waiver

3295 RIVER EXCHANGE DR STE 400, NORCROSS, GA 30092(229) 395-8243(678) 550-6860 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Center For Intentional Wellness, Llc NPPES

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

CENTER FOR INTENTIONAL WELLNESS, LLC (NPI 1780448670) is a healthcare organization registered as a rehabilitation, substance use disorder in Norcross, Georgia and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Jamil David, Owner, as its authorized official.

NPPES Registry Identity

NPI1780448670

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCENTER FOR INTENTIONAL WELLNESS, LLC

Location Address3295 RIVER EXCHANGE DR STE 400Norcross, GA 30092-4221

Mailing Address3295 River Exchange Dr Ste 400Norcross, GA 30092-4221 · (229) 395-8243 · Fax (678) 550-6860

Phone(229) 395-8243

Fax(678) 550-6860

Organization SubpartNo

Authorized OfficialJamil DavidOwner · (229) 395-8243

Enumeration DateFebruary 12, 2024

Last NPPES UpdateAugust 12, 2024

NPPES CertifiedAugust 12, 2024

✔ NPI 1780448670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

3295 RIVER EXCHANGE DR STE 400, Norcross, GA 30092

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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

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 11D2319994

Center For Intentional Wellness · Norcross, GA

Active · expires Mar 10, 2027

CLIA Number11D2319994

Laboratory TypeCounseling Center

Certificate Effective DateMarch 11, 2025

Certificate Expiration DateMarch 10, 2027

Laboratory DirectorKambiz Aflatoon

Laboratory Phone(229) 395-8243

Laboratory LocationCenter For Intentional Wellness3295 River Exchange, Suite 400, Norcross, GA 30092

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EMBRACED SOLES & MEDICAL DME LLC

Durable Medical Equipment & Medical Supplies

3295 RIVER EXCHANGE DR STE 400
NORCROSS, GA 30092

Gwinnett County (770) 217-5168

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 Center For Intentional Wellness, LLC's NPI number?

The NPI number for Center For Intentional Wellness, LLC is 1780448670. It was assigned to this organization in the NPPES registry on February 12, 2024.

Where is Center For Intentional Wellness, LLC located?

Center For Intentional Wellness, LLC is located at 3295 River Exchange Dr Ste 400, Norcross, GA 30092. The listed phone number is (229) 395-8243.

What is Center For Intentional Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Center For Intentional Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2319994) is associated with this NPI, valid through March 10, 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 Center For Intentional Wellness, LLC was last updated on August 12, 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.