NPI Code Details Logo

NPI 1699547091

NPI 1699547091 : HEALTH & WELLNESS PROS LLC : ATLANTA, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1699547091
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALTH & WELLNESS PROS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/27/2023
-----------------------------------------------------
    Last Update Date     |    08/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3480 PEACHTREE RD NE 2ND FLOOR SUITE 134
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30326-1031
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-264-0099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3480 PEACHTREE RD NE 2ND FLOOR SUITE 134
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30326-1031
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-264-0099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PROVIDER
-----------------------------------------------------
    Name                 |     MARKEELUS  MILLIGAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    770-318-0989
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0802X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.