Healthcare Provider Details

I. General information

NPI: 1548181688
Provider Name (Legal Business Name): EMERALD AURA WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 PHILLIP MORRIS DR STE 105A
SALISBURY MD
21804-1909
US

IV. Provider business mailing address

113 S PERRY ST STE 206
LAWRENCEVILLE GA
30046-4811
US

V. Phone/Fax

Practice location:
  • Phone: 770-765-6918
  • Fax: 443-320-9253
Mailing address:
  • Phone: 770-765-6918
  • Fax: 443-320-9253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTNEY GOULD
Title or Position: CEO/PROVIDER
Credential: PMHNP
Phone: 770-765-6918