Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist | |
Mental Health |
101YM0800X |
| NPI # | 1528774916 |
| LBN Legal business name | PSYCHIATRY AND WELLNESS OF GEORGIA, LLC |
| Authorized official | JOHN KANYUIRA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/30/2023 |
| Last updated | 12/31/2024 - More than a year ago |
| Identifiers | n/a |
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