Healthcare Provider Details

I. General information

NPI: 1861339251
Provider Name (Legal Business Name): WENDY SCHAFLANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5805 STATE BRIDGE RD STE G441
JOHNS CREEK GA
30097-8220
US

IV. Provider business mailing address

5805 STATE BRIDGE RD STE G441
JOHNS CREEK GA
30097-8220
US

V. Phone/Fax

Practice location:
  • Phone: 310-497-3195
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC5077
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: