Organization · Type 2 NPI
Total Care Behavioral Services
Psychiatric/Mental Health Nurse Practitioner · Loganville, GA
NPI number
1073215554
Active
Practice location
4402 Lawrenceville Rd Ste 216
Loganville, GA 30052-2629
Fax (678) 830-2511
Mailing address
910 Athens Hwy # K270
Loganville, GA 30052-4952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073215554
Total Care Behavioral Services's National Provider Identifier is 1073215554, issued on Mar 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Loganville, GA. The record was last updated on Mar 16, 2026.