# BRAVE MINDS WELLNESS, LLC

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

## Provider details

- **NPI number:** 1790605822
- **Authorized official:** DORTHEA ROGERS APRN (OWNER)
- **Authorized official phone:** (470) 995-5469

## Contact information

- **Practice address:** 354 NEWNAN CROSSING BYP FL 2, NEWNAN, GA 30265-2323
- **Practice address phone:** (470) 995-5469
- **Practice address fax:** (406) 289-9609
- **Mailing address:** 354 NEWNAN CROSSING BYP STE 235, NEWNAN, GA 30265-2435
- **Mailing address phone:** (470) 995-5469
- **Mailing address fax:** (406) 289-9609

## 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:** 07/18/2026
- **Last updated:** 08/06/2026