Healthcare Provider Details

I. General information

NPI: 1407701899
Provider Name (Legal Business Name): BATES THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 GLENN FULLER CIR
COMMERCE GA
30529-6076
US

IV. Provider business mailing address

60 GLENN FULLER CIR
COMMERCE GA
30529-6076
US

V. Phone/Fax

Practice location:
  • Phone: 706-363-0560
  • Fax:
Mailing address:
  • Phone: 706-363-0560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIK MARCUS BATES
Title or Position: PRESIDENT
Credential: LCSW
Phone: 706-363-0560