# SHIALLA WARREN NP CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shialla Warren Psychiatric Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316605330
- **Authorized official:** MRS. SHIALLA DENEEN WARREN APRN (OWNER)
- **Authorized official phone:** (404) 595-8722

## Contact information

- **Practice address:** 12461 VETERANS MEMORIAL HWY STE 805, DOUGLASVILLE, GA 30134-2025
- **Practice address phone:** (404) 595-8722
- **Practice address fax:** (678) 737-1432
- **Mailing address:** 4403 TURNBERRY CT, DOUGLASVILLE, GA 30135-2767
- **Mailing address phone:** (404) 987-8722

## 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:** 12/07/2021
- **Last updated:** 03/04/2022