# A NEW YOU PSYCHIATRIC CARE

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

## Provider details

- **NPI number:** 1376304402
- **Authorized official:** CASSANDRA SHEA GILLIAM PMHNP-BC (OWNER)
- **Authorized official phone:** (478) 496-4896

## Contact information

- **Practice address:** 135 MACON WEST DR, MACON, GA 31210-5652
- **Practice address phone:** (478) 496-4896
- **Practice address fax:** (478) 389-0204
- **Mailing address:** 135 MACON WEST DR, MACON, GA 31210-5652
- **Mailing address phone:** (478) 496-4896
- **Mailing address fax:** (478) 389-0204

## 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:** 01/16/2024
- **Last updated:** 01/28/2025