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NPI Code Detail

MEDICARE: ALINEA WELLNESS CO.

MEDICARE: ALINEA WELLNESS CO.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2261QM0850XAdult Mental Health Clinic/Center
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1356236996
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALINEA WELLNESS CO.
Provider Business Mailing Address
First Line : 134 JEPSON WAY
Second Line :
City : POOLER
State : GA
Zip : 31322-9836
Country : US
Telephone Number : 912-200-6396
Fax Number : 855-223-9969
Provider Business Practice Location Address
First Line : 1 JOHNSTON ST STE 6
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-5532
Country : US
Telephone Number : 912-200-6396
Fax Number : 855-223-9969
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : MISS LAYNA BRENAE THOMPSON
Credential : LCSW, LISW-CP
Telephone Number : 912-308-4394
Provider Enumeration Date : 06/12/2025
Last Update Date : 08/14/2025

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Directions to “ALINEA WELLNESS CO. ” Practice Location

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