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Contact Information

PSYCHIATRY AND WELLNESS OF GEORGIA, LLC
620 COLONIAL PARK DR STE 100
ROSWELL, GA30075-3746
 Phone: 678-439-0017
 Fax: 678-884-0761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Child & Family

364SP0810X 89 Certified Clinical Nurse Specialist
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PSYCHIATRY AND WELLNESS OF GEORGIA, LLC

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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