Healthcare Provider Details

I. General information

NPI: 1356236996
Provider Name (Legal Business Name): ALINEA WELLNESS CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JOHNSTON ST STE 6
SAVANNAH GA
31405-5532
US

IV. Provider business mailing address

134 JEPSON WAY
POOLER GA
31322-9836
US

V. Phone/Fax

Practice location:
  • Phone: 912-200-6396
  • Fax: 855-223-9969
Mailing address:
  • Phone: 912-200-6396
  • Fax: 855-223-9969

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 Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS LAYNA BRENAE THOMPSON
Title or Position: SOLE PROPRIETOR
Credential: LCSW, LISW-CP
Phone: 912-308-4394