# PCOS SISTERS TELEHEALTH CLINIC & WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1235921412
- **Authorized official:** LYNSEY AMANDA JOHNSON FNP, DNP (CEO, MEMBER)
- **Authorized official phone:** (912) 531-1019

## Contact information

- **Practice address:** 1201 W PEACHTREE ST NW STE 2300, ATLANTA, GA 30309-3453
- **Practice address phone:** (904) 586-1964
- **Practice address fax:** (888) 597-2357
- **Mailing address:** 528 SCOTT BLVD, DECATUR, GA 30030-2353
- **Mailing address phone:** (912) 531-1019
- **Mailing address fax:** (888) 597-2357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2025
- **Last updated:** 12/09/2025