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

Ivydale Wellness Center LLC

Organization Community/Behavioral Health Agency · NPI 1326653783

Ivydale Wellness Center LLC is a Community/Behavioral Health Agency in Winder, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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

361 Resource Pkwy
Winder, GA 30680-8364
Phone: (770) 291-0419
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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
Primary Care Clinic/Center Taxonomy 261QP2300X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0813X

Record details

NPI number1326653783
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization19137243
Authorized official Ablavi Agomessou — Pmhnp-C · (404) 819-8701
Other names Ivydale Wellness Clinic
NPI enumeratedSeptember 12, 2020
Last updated in NPPESSeptember 12, 2020
Certification dateSeptember 12, 2020
Mailing address881 Ivydale Ln, Lawrenceville, GA 30045-7818

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