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Organization
SACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization
SACRED LIVING BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA WASHPON MORRIS APRN (CEO)
(404) 985-0313
Entity
Organization
Contact information
Practice address
10 1ST AVE NE, CAIRO, GA 39828-2101
(229) 216-9940
Mailing address
10 1ST AVE NE, CAIRO, GA 39828-2101
(229) 216-9940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
02/06/2024
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