# EMBERS OF PEACE & WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356264600
- **Authorized official:** LATASHA RACHELE JACKSON MSN, APRN, PMHNP-BC (OWNER)
- **Authorized official phone:** (943) 300-5764

## Contact information

- **Practice address:** 1870 THE EXCHANGE SE, ATLANTA, GA 30339-2036
- **Practice address phone:** (943) 300-5764
- **Mailing address:** 1870 THE EXCHANGE SOUTH EAST, STE 220 PMB 228776, ATLANTA, GA 30339-2036
- **Mailing address phone:** (943) 300-5764

## 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:** 08/03/2026
- **Last updated:** 08/03/2026