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Holistic Mind Llc
Psychiatric/Mental Health Nurse Practitioner in Newnan, Georgia
NPI 1689313314

Holistic Mind Llc is a Psychiatric/Mental Health Nurse Practitioner based in Newnan, GA and is specialized in Psychiatric/Mental Health. Holistic Mind Llc practices in Newnan, GA. The NPI Number for Holistic Mind Llc is 1689313314 and holds a License No. (Georgia).

The current practice location address for Holistic Mind Llc is 15 Perry St # 394, Newnan, GA and can be reached out via phone at 678-850-4807.

Location: 15 Perry St # 394, Newnan, GA, 30263-1918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689313314
Provider Name
Holistic Mind Llc
Credential
Provider Entity Type
Organization
Address
15 Perry St # 394, Newnan, GA, 30263-1918
Phone Number
678-850-4807
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
249968 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
15 Perry St # 394
City
Newnan
State
Georgia
Zip
30263-1918
Phone Number
678-850-4807
Fax Number
person
Provider Business Mailing Address Details
Address
15 Perry St # 394
City
Newnan
State
Georgia
Zip
30263-1918
Phone Number
678-850-4807
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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