Healthcare Provider Details
I. General information
NPI: 1689585515
Provider Name (Legal Business Name): COREPATH WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 W PEACHTREE ST NW STE 1700
ATLANTA GA
30308-3631
US
IV. Provider business mailing address
205 HUNTCLIFF DR
FAYETTEVILLE GA
30215-5168
US
V. Phone/Fax
- Phone: 404-740-7783
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOY
BELLO
Title or Position: FOUNDER
Credential: NP
Phone: 404-740-7783