Healthcare Provider Details
I. General information
NPI: 1659288454
Provider Name (Legal Business Name): WONDERING WELL BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
691 JOHN WESLEY DOBBS AVE NE STE V-155
ATLANTA GA
30312-1690
US
IV. Provider business mailing address
PO BOX 17621
ATLANTA GA
30316-0621
US
V. Phone/Fax
- Phone: 404-480-0595
- Fax:
- Phone: 404-480-0595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOANN
JOHNSTON
Title or Position: SOLE MEMBER
Credential: LCSW
Phone: 404-480-0595