# NOUVEAUX U BEHAVIORAL HEALTH PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1700686250
- **Authorized official:** MELISSA PAULINE NP (CEO)
- **Authorized official phone:** (908) 400-5058

## Contact information

- **Practice address:** 2675 MALL OF GEORGIA BLVD STE 103, BUFORD, GA 30519-8783
- **Practice address phone:** (678) 979-3905
- **Mailing address:** 2675 MALL OF GEORGIA BLVD STE 103, BUFORD, GA 30519-8783
- **Mailing address phone:** (678) 979-3905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2025
- **Last updated:** 03/14/2025