YELLOW BRICK ROAD LLC
NPI 1952179384
Counselor - Mental Health in Lawrenceville, GA

Active since December 14, 2023CLIA 11D2330549 · Waiver
2775 CRUSE RD STE 601, LAWRENCEVILLE, GA 30044(678) 330-7298 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Dec 14, 2023 (2 updates tracked since 2023).

About Yellow Brick Road Llc NPPES

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

YELLOW BRICK ROAD LLC (NPI 1952179384) is a healthcare organization registered as a mental health in Lawrenceville, Georgia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Lakeisha Wilson, Director, as its authorized official.

NPPES Registry Identity

NPI1952179384
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameYELLOW BRICK ROAD LLC
Location Address2775 CRUSE RD STE 601Lawrenceville, GA 30044-7142
Mailing Address2440 Wisteria Dr Unit 769Snellville, GA 30078-1967
Organization SubpartNo
Authorized OfficialLakeisha WilsonDirector · (678) 330-7298
Enumeration DateDecember 14, 2023
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
NPI 1952179384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2775 CRUSE RD STE 601, Lawrenceville, GA 30044

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

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 11D2330549

Yellow Brick Road, LLC · Lawrenceville, GA
Active · expires Sep 17, 2027
CLIA Number11D2330549
Laboratory TypeDrug Testing Center
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorLakeisha S. Wilson
Laboratory Phone(770) 759-1009
Laboratory LocationYellow Brick Road, LLC2775 Cruse Road, #601, Lawrenceville, GA 30044
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

In Home Supportive Care
2775 CRUSE RD STE 601
LAWRENCEVILLE, GA 30044
Health and Wellness Coach
2775 CRUSE RD STE 601
LAWRENCEVILLE, GA 30044

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 Yellow Brick Road LLC's NPI number?

The NPI number for Yellow Brick Road LLC is 1952179384. It was assigned to this organization in the NPPES registry on December 14, 2023.

Where is Yellow Brick Road LLC located?

Yellow Brick Road LLC is located at 2775 Cruse Rd Ste 601, Lawrenceville, GA 30044. The listed phone number is (678) 330-7298.

What is Yellow Brick Road LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Yellow Brick Road LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2330549) is associated with this NPI, valid through September 17, 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 Yellow Brick Road LLC was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.