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Ivydale Wellness Center Llc
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Winder, Georgia
NPI 1326653783

Ivydale Wellness Center Llc is a Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist based in Lawrenceville, GA and is specialized in Psychiatric/Mental Health, Geropsychiatric. Ivydale Wellness Center Llc practices in Winder, GA. The NPI Number for Ivydale Wellness Center Llc is 1326653783 and holds a License No. (Georgia).

The current practice location address for Ivydale Wellness Center Llc is 361 Resource Pkwy, Winder, GA and can be reached out via phone at 770-291-0419.

Location: 361 Resource Pkwy, Winder, GA, 30045-7818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326653783
Provider Name
Ivydale Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
361 Resource Pkwy, Winder, GA, 30045-7818
Phone Number
770-291-0419
Fax Number
Provider Enumeration Date
09/12/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
361 Resource Pkwy
City
Winder
State
Georgia
Zip
30680-8364
Phone Number
770-291-0419
Fax Number
person
Provider Business Mailing Address Details
Address
361 Resource Pkwy
City
Winder
State
Georgia
Zip
30680-8364
Phone Number
770-291-0419
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Geropsychiatric
Taxonomy
364SP0813X
License No.
()
Definition
Definition to come...
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