# WHOLE MIND COLLECTIVE MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083555742
- **Authorized official:** DEMETRIAL EVETTE CHANDLER PMHNP (CEO)
- **Authorized official phone:** (706) 466-3866

## Contact information

- **Practice address:** 1241 PARAMOUNT CT, HEPHZIBAH, GA 30815-4554
- **Practice address phone:** (706) 722-0772
- **Practice address fax:** (706) 963-2356
- **Mailing address:** 1241 PARAMOUNT CT, HEPHZIBAH, GA 30815-4554
- **Mailing address phone:** (706) 722-0772
- **Mailing address fax:** (706) 963-2356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2026
- **Last updated:** 04/04/2026