Organization · Type 2 NPI
Live Well Behavioral Medicine P.c.
Psychiatric/Mental Health Nurse Practitioner · Woodstock, GA
NPI number
1770204349
Active
Practice location
4390 Earney Rd Ste 140
Woodstock, GA 30188-5687
Fax (706) 553-4157
Mailing address
1290 Kennestone Cir Ste D109
Marietta, GA 30066-6097
Other practice locations
- 1290 Kennestone Cir Ste D109, Marietta, GA 30066-6097 · (470) 819-1311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Woodstock
About NPI 1770204349
Live Well Behavioral Medicine P.c.'s National Provider Identifier is 1770204349, issued on Sep 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Woodstock, GA. The record was last updated on Sep 12, 2022.