Healthcare Provider Details

I. General information

NPI: 1932040516
Provider Name (Legal Business Name): CRIMSON MENTAL HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 HWY 34 E SUITE A
NEWNAN GA
30265
US

IV. Provider business mailing address

1601 HWY 34 E SUITE A
NEWNAN GA
30265
US

V. Phone/Fax

Practice location:
  • Phone: 706-250-2281
  • Fax: 678-877-8066
Mailing address:
  • Phone: 706-250-2281
  • Fax: 678-877-8066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ISIS FRANCHESCA THOMAS
Title or Position: SPEECH LANGUAGE PATHOLOGIST/OWNER
Credential: CCC-SLP
Phone: 706-250-2281