# ALICE'S PSYCHIATRY & WELLNESS, LLC

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

## Provider details

- **NPI number:** 1407627805
- **Authorized official:** OMOYEME EHIZUELEN PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (404) 566-8045

## Contact information

- **Practice address:** 680 HILLCREST RD NW STE 400, LILBURN, GA 30047-6898
- **Practice address phone:** (404) 566-8045
- **Practice address fax:** (404) 999-6787
- **Mailing address:** 1700 NORTHSIDE DRIVE NW SUITE A7, PMB 2078, ATLANTA, GA 30318
- **Mailing address phone:** (404) 566-8045

## 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:** 01/15/2024
- **Last updated:** 08/07/2024