# KAIROS LIFE AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013835271
- **Authorized official:** LUCY V JOHNSON APRN (OWNER PROVIDER)
- **Authorized official phone:** (678) 887-9315

## Contact information

- **Practice address:** 2700 BRASELTON HWY STE 10-278, DACULA, GA 30019-3262
- **Practice address phone:** (678) 887-9315
- **Mailing address:** 2700 BRASELTON HWY STE 10-278, DACULA, GA 30019-3262
- **Mailing address phone:** (678) 887-9315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2026
- **Last updated:** 07/07/2026