Healthcare Provider Details

I. General information

NPI: 1033026836
Provider Name (Legal Business Name): ANCHORED & WHOLE WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 PERIMETER CTR W STE 200
DUNWOODY GA
30346-1255
US

IV. Provider business mailing address

121 PERIMETER CTR W STE 200
DUNWOODY GA
30346-1255
US

V. Phone/Fax

Practice location:
  • Phone: 317-384-8165
  • Fax:
Mailing address:
  • Phone: 317-384-8165
  • 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: AISHA ONAMUTI
Title or Position: THERAPIST
Credential: LCSW
Phone: 317-384-8165