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BRAIN AND SOUL WELLNESS GROUP, LLC
NPI 1871120659
Psychiatry & Neurology - Psychiatry in Lilburn, GA

Active since March 24, 2020
3050 FIVE FORKS TRICKUM RD SW STE D451, LILBURN, GA 30047(214) 280-0848 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2020, Mar 24, 2020 (2 updates tracked since 2020).

About Brain And Soul Wellness Group, Llc NPPES

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

BRAIN AND SOUL WELLNESS GROUP, LLC (NPI 1871120659) is a healthcare organization registered as a psychiatry in Lilburn, Georgia and active in the NPI registry since March 2020. The organization lists Maloa Chu Affuembey, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1871120659
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBRAIN AND SOUL WELLNESS GROUP, LLC
Location Address3050 FIVE FORKS TRICKUM RD SW STE D451Lilburn, GA 30047-1810
Mailing Address3050 Five Forks Trickum Rd Sw Ste D451Lilburn, GA 30047-1810
Phone(214) 280-0848
Organization SubpartNo
Authorized OfficialMaloa Chu AffuembeyOwner/md · (404) 436-0677
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 25, 20202 updates tracked since enumeration
NPPES CertifiedMay 25, 2020
✔ NPI 1871120659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3050 FIVE FORKS TRICKUM RD SW STE D451, Lilburn, GA 30047
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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 MULTIPLE 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.

DR. MALOA CHU AFFUEMBEY M.D.
Psychiatry & Neurology (Psychiatry)
3050 FIVE FORKS TRICKUM RD SW STE D451
LILBURN, GA 30047
Gwinnett County (678) 383-0463

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 Brain And Soul Wellness Group, LLC's NPI number?

The NPI number for Brain And Soul Wellness Group, LLC is 1871120659. It was assigned to this organization in the NPPES registry on March 24, 2020.

Where is Brain And Soul Wellness Group, LLC located?

Brain And Soul Wellness Group, LLC is located at 3050 Five Forks Trickum Rd SW Ste D451, Lilburn, GA 30047. The listed phone number is (214) 280-0848.

What is Brain And Soul Wellness Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Brain And Soul Wellness Group, LLC was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.