Healthcare Provider Details

I. General information

NPI: 1487517272
Provider Name (Legal Business Name): DESIGNED TO NURTURE WELLNESS STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S PIEDMONT ST
CALHOUN GA
30701-2421
US

IV. Provider business mailing address

325 S PIEDMONT ST
CALHOUN GA
30701-2421
US

V. Phone/Fax

Practice location:
  • Phone: 762-204-7221
  • Fax:
Mailing address:
  • Phone: 762-204-7221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AUDRA MICHELLE MILLS
Title or Position: LICENSED MASSAGE THERAPIST
Credential: LMT
Phone: 706-263-1344