Healthcare Provider Details

I. General information

NPI: 1578470480
Provider Name (Legal Business Name): BYRDSONG-FLOWERS WELLNESS COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 WOODLANDS DR SE
SMYRNA GA
30080-2481
US

IV. Provider business mailing address

4776 ROLLINS DR UNIT 116
POWDER SPRINGS GA
30127-3370
US

V. Phone/Fax

Practice location:
  • Phone: 470-818-8648
  • Fax:
Mailing address:
  • Phone: 470-818-8648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHARTIA BYRDSONG-FLOWERS
Title or Position: FOUNDER
Credential:
Phone: 470-818-8648