Healthcare Provider Details

I. General information

NPI: 1477306140
Provider Name (Legal Business Name): SUNNY DAYZ WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E PACES FERRY RD NE STE 313
ATLANTA GA
30305-3333
US

IV. Provider business mailing address

455 E PACES FERRY RD NE STE 313
ATLANTA GA
30305-3333
US

V. Phone/Fax

Practice location:
  • Phone: 229-222-4223
  • Fax: 229-222-4131
Mailing address:
  • Phone: 229-222-4223
  • Fax: 229-222-4131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: KATY AUSTIN
Title or Position: CEO/FOUNDER
Credential:
Phone: 229-222-4223