Provider Type Icon

WISTERIA WELLNESS CENTER INC. NPI 1669522959


NPI Information

NPI: 1669522959
Provider Name: WISTERIA WELLNESS CENTER, INC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2336 WISTERIA DR STE 410
SNELLVILLE, GA
ZIP 30078
Phone: (770) 979-0074
Get Directions

WISTERIA WELLNESS CENTER, INC. is a psychiatry psychiatry neurology in Snellville, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. WISTERIA WELLNESS CENTER, INC. NPI is 1669522959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2336 WISTERIA DR STE 410
SNELLVILLE, GA
ZIP 30078-160
Phone: (770) 979-0074
Fax: (770) 979-8305

The provider's authorized official is Flora Denise Cox .
The authorized official title is Medical Director and has the following contact phone number (770) 979-0074.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.


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 License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryGEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.