# VINES PSYCHIATRY AND COUNSELING NP LLC

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

## Provider details

- **NPI number:** 1225981350
- **Authorized official:** MICHELLE BONE (CREDENTIALING/BILLING ADMIN)
- **Authorized official phone:** (706) 409-3072

## Contact information

- **Practice address:** 109 JOHN MADDOX DR NW STE 221, ROME, GA 30165-1452
- **Practice address phone:** (706) 420-3309
- **Practice address fax:** (706) 203-3201
- **Mailing address:** 109 JOHN MADDOX DR NW STE 221, ROME, GA 30165-1452
- **Mailing address phone:** (706) 420-3309
- **Mailing address fax:** (706) 203-3201

## 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:** 02/18/2026
- **Last updated:** 03/18/2026