Healthcare Provider Details

I. General information

NPI: 1699547091
Provider Name (Legal Business Name): HEALTH & WELLNESS PROS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2023
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3480 PEACHTREE RD NE 2ND FLOOR SUITE 134
ATLANTA GA
30326-1031
US

IV. Provider business mailing address

3480 PEACHTREE RD NE 2ND FLOOR SUITE 134
ATLANTA GA
30326-1031
US

V. Phone/Fax

Practice location:
  • Phone: 770-264-0099
  • Fax:
Mailing address:
  • Phone: 770-264-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARKEELUS MILLIGAN
Title or Position: PROVIDER
Credential:
Phone: 770-318-0989