Healthcare Provider Details

I. General information

NPI: 1912801853
Provider Name (Legal Business Name): THREADS TO WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 MCARTHUR DR
LOCUST GROVE GA
30248-6029
US

IV. Provider business mailing address

8735 DUNWOODY PL STE R
SANDY SPRINGS GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 404-465-4589
  • Fax:
Mailing address:
  • Phone: 678-405-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BRITTANY ARIANA BORZILLO
Title or Position: OWNER
Credential: PSYD
Phone: 470-908-0066