Provider Demographics
NPI:1003790148
Name:GOD FIRST WELLNESS CENTER LLC
Entity type:Organization
Organization Name:GOD FIRST WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:SAMURAT
Authorized Official - Middle Name:I
Authorized Official - Last Name:ONI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:321-594-3390
Mailing Address - Street 1:500 LANIER AVE W STE 908E
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7641
Mailing Address - Country:US
Mailing Address - Phone:404-273-3388
Mailing Address - Fax:
Practice Address - Street 1:500 LANIER AVE W STE 908E
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7641
Practice Address - Country:US
Practice Address - Phone:404-273-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIQUE GLOBAL INVESTMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty