Organization · Type 2 NPI
Lilac Wellness and Spa LLC
Psychiatric/Mental Health Nurse Practitioner · Tucker, GA
NPI number
1750075776
Active
Practice location
1841 Montreal Rd Ste 111
Tucker, GA 30084-5712
Mailing address
3050 Five Forks Trickum Rd SW Ste D454
Lilburn, GA 30047-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | None listed |
| Infusion Therapy Registered Nurse | 163WI0500X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Tucker
About NPI 1750075776
Lilac Wellness and Spa LLC's National Provider Identifier is 1750075776, issued on Jun 5, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tucker, GA. The record was last updated on Feb 28, 2024.