NOVU WELLNESS LLC NPI 1518648682

NPI Information

NPI: 1518648682
Provider Name: NOVU WELLNESS LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 11D2287756

Address:
4536 NELSON BROGDON BLVD
BUILDING E STE 2
SUGAR HILL, GA
ZIP 30518
Phone: (704) 305-1430
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NOVU WELLNESS LLC is an adult mental health clinic center in Sugar Hill, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NOVU WELLNESS LLC NPI is 1518648682. The provider is registered as an organization entity type.

The provider's business location address is:

4536 NELSON BROGDON BLVD
BUILDING E STE 2
SUGAR HILL, GA
ZIP 30518
Phone: (704) 305-1430

The provider's authorized official is Justin Heilig .
The authorized official title is Ceo and has the following contact phone number (704) 305-1430.

The CLIA number assigned to this NPI record is 11D2287756 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2023 and was last updated on 7/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	261QM0850X	Clinic/Center	Adult Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	70170	OTHER	GEORGIA	DR. BRYON MCQUIRT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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