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Organization
BEAUTIFUL MIND BEHAVIOR HEALTH AND WELLNESS LLC
Active
Organization
BEAUTIFUL MIND BEHAVIOR HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAWAH COMFORT GUAR APRN, PMHNP (OWNER)
(240) 423-5186
Entity
Organization
Contact information
Practice address
1176 UPPER SHOAL WAY, LAWRENCEVILLE, GA 30045-7017
(240) 423-5186
Mailing address
1176 UPPER SHOAL WAY, LAWRENCEVILLE, GA 30045-7017
(240) 423-5186
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
05/26/2022
Last updated
05/26/2022
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