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Organization
VINES PSYCHIATRY AND COUNSELING NP LLC
Active
Organization
VINES PSYCHIATRY AND COUNSELING NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BONE (CREDENTIALING/BILLING ADMIN)
(706) 409-3072
Entity
Organization
Contact information
Practice address
109 JOHN MADDOX DR NW STE 221, ROME, GA 30165-1452
(706) 420-3309
(706) 203-3201
Mailing address
109 JOHN MADDOX DR NW STE 221, ROME, GA 30165-1452
(706) 420-3309
(706) 203-3201
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
02/18/2026
Last updated
03/18/2026
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