# GROWTH MINDSET WELLNESS PC

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

## Provider details

- **NPI number:** 1699408005
- **Authorized official:** MS. TIFFANY BATES APRN (OWNER)
- **Authorized official phone:** (470) 275-2358

## Contact information

- **Practice address:** 175 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7382
- **Practice address phone:** (470) 275-2358
- **Mailing address:** 175 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7382
- **Mailing address phone:** (470) 275-2358
- **Mailing address fax:** (470) 319-6353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2022
- **Last updated:** 02/02/2024