Healthcare Provider Details

I. General information

NPI: 1093338816
Provider Name (Legal Business Name): SUMMIT WELLNESS GROUP WITH FLAIRE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

996 HUFF RD NW STE C
ATLANTA GA
30318-4333
US

IV. Provider business mailing address

745 HEMBREE PL
ROSWELL GA
30076-4035
US

V. Phone/Fax

Practice location:
  • Phone: 770-299-1677
  • Fax: 772-991-1249
Mailing address:
  • Phone: 561-317-4563
  • Fax: 770-299-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBERT SCHALIT III
Title or Position: OWNER/FOUNDER
Credential:
Phone: 678-859-7244