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Live Well Behavioral Medicine P.c.
Psychiatric/Mental Health Nurse Practitioner in Woodstock, Georgia
NPI 1770204349

Live Well Behavioral Medicine P.c. is a Psychiatric/Mental Health Nurse Practitioner based in Marietta, GA and is specialized in Psychiatric/Mental Health. Live Well Behavioral Medicine P.c. practices in Woodstock, GA. The NPI Number for Live Well Behavioral Medicine P.c. is 1770204349 and holds a License No. (Georgia).

The current practice location address for Live Well Behavioral Medicine P.c. is 4390 Earney Rd Ste 140, Woodstock, GA and can be reached out via phone at 678-568-2285 and via fax at 706-553-4157.

Location: 4390 Earney Rd Ste 140, Woodstock, GA, 30066-6097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770204349
Provider Name
Live Well Behavioral Medicine P.c.
Credential
Provider Entity Type
Organization
Address
4390 Earney Rd Ste 140, Woodstock, GA, 30066-6097
Phone Number
678-568-2285
Fax Number
706-553-4157
Provider Enumeration Date
09/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4390 Earney Rd Ste 140
City
Woodstock
State
Georgia
Zip
30188-5687
Phone Number
678-568-2285
Fax Number
706-553-4157
person
Provider Business Mailing Address Details
Address
4390 Earney Rd Ste 140
City
Woodstock
State
Georgia
Zip
30188-5687
Phone Number
678-568-2285
Fax Number
706-553-4157
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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