Healthcare Provider Details

I. General information

NPI: 1548181555
Provider Name (Legal Business Name): THE MALAKI CO DBA LOVE THYSELF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

783 MITCHELL BRIDGE RD
ATHENS GA
30606-1919
US

IV. Provider business mailing address

1720 EPPS BRIDGE PKWY STE 108-134
ATHENS GA
30606-6132
US

V. Phone/Fax

Practice location:
  • Phone: 678-725-6890
  • Fax:
Mailing address:
  • Phone: 678-725-6890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: DR. DONNETTA SHANTE WASHINGTON
Title or Position: OWNER, THERAPIST
Credential: DSW, LCSW, LICSW
Phone: 678-725-6890