Healthcare Provider Details

I. General information

NPI: 1407495666
Provider Name (Legal Business Name): S.A.S WELLNESS & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2020
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 S 9TH ST
GRIFFIN GA
30224-4111
US

IV. Provider business mailing address

327 S 9TH ST STE 118
GRIFFIN GA
30224-4111
US

V. Phone/Fax

Practice location:
  • Phone: 404-913-9183
  • Fax:
Mailing address:
  • Phone: 770-628-5368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELICIA PROPHET
Title or Position: OWNER/LICENSED COUNSELOR
Credential: LPC, LMHC
Phone: 770-628-5368