MINDCARE WELLNESS LLC NPI 1184314148

NPI Information

NPI: 1184314148
Provider Name: MINDCARE WELLNESS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3772 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144
Phone: (470) 524-2273
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MINDCARE WELLNESS LLC is a family nurse practitioner in Kennesaw, GA. MINDCARE WELLNESS LLC NPI is 1184314148. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3772 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144-080
Phone: (470) 524-2273

The provider's authorized official is Sophia Robinson Harris .
The authorized official title is Np and has the following contact phone number (404) 747-9974.

The enumeration date for this NPI number is 5/11/2023 and was last updated on 5/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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