Organization
CENTER FOR INTENTIONAL WELLNESS, LLC
Active
Organization
CENTER FOR INTENTIONAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIL DAVID PMHNP (OWNER)
(229) 395-8243
Entity
Organization
Contact information
Practice address
3295 RIVER EXCHANGE DR STE 400, NORCROSS, GA 30092-4221
(229) 395-8243
(678) 550-6860
Mailing address
3295 RIVER EXCHANGE DR STE 400, NORCROSS, GA 30092-4221
(229) 395-8243
(678) 550-6860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
08/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up