Healthcare Provider Details

I. General information

NPI: 1922935865
Provider Name (Legal Business Name): PEAR PIXELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6470 E JOHNS XING STE 430
JOHNS CREEK GA
30097-1545
US

IV. Provider business mailing address

6470 E JOHNS XING STE 430
JOHNS CREEK GA
30097-1545
US

V. Phone/Fax

Practice location:
  • Phone: 404-215-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KELLY T JANE
Title or Position: SUPERVISOR
Credential:
Phone: 404-215-2121