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Organization
MIND MANAGEMENT COUNSELING LLC
Active
Organization
MIND MANAGEMENT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARISSA BEST APRN (APRN)
(201) 953-5740
Entity
Organization
Contact information
Practice address
500 WISTERIA BLVD, COVINGTON, GA 30016-7265
(201) 953-5740
Mailing address
500 WISTERIA BLVD, COVINGTON, GA 30016-7265
(201) 953-5740
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/06/2021
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