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Organization
ESSENCE OF THE MIND BEHAVIORAL HEALTH AND WELLNESS
Active
Organization
ESSENCE OF THE MIND BEHAVIORAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANDI W FORTIER APRN (PSYCHIATRIC MENTAL HEALTH NP)
(864) 208-9501
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD STE 321, GREENVILLE, SC 29607-2762
(864) 208-9501
(864) 849-7759
Mailing address
25 WOODS LAKE RD STE 321, GREENVILLE, SC 29607-2762
(864) 208-9501
(864) 849-7759
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
01/19/2024
Last updated
04/21/2024
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