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Ivydale Wellness Center LLC

Psychiatric/Mental Health Nurse Practitioner in Winder, GA · enumerated 2019 · authorized official Ablavi Agomessou, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659919066

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Registry record

Entity type Organization (Type 2)
Legal business name Ivydale Wellness Center LLC
Other name <Unavail>
Practice address 361 Resource Pkwy, Winder, GA, 30680
Phone (770) 291-0419
Enumeration date Dec 16, 2019
Last updated in NPPES Jan 15, 2026

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Ablavi Agomessou
Title Owner
Phone (404) 819-8701

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ivydale Wellness Center LLC?
The NPI for Ivydale Wellness Center LLC is 1659919066, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ivydale Wellness Center LLC?
NPPES lists Ablavi Agomessou (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-15.