Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domina Umbrae LLC

Organization Community/Behavioral Health Agency · NPI 1053748947

Domina Umbrae LLC is a Community/Behavioral Health Agency in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2155 Meador Ave SE
Atlanta, GA 30315-7407
Phone: (706) 442-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LPC004441 (GA)

Record details

NPI number1053748947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Miller — Owner · (706) 442-9127
NPI enumeratedOctober 9, 2013
Last updated in NPPESOctober 9, 2013
Mailing address330 High Hardin Way, Lawrenceville, GA 30043-6091

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