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Organization
JS HEALTHCARE, LLC.
Active
Organization
JS HEALTHCARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA HARVEY STEWART (CLINICAL DIRECTOR)
(470) 450-1355
Entity
Organization
Contact information
Practice address
175 LANGLEY DR STE 1, LAWRENCEVILLE, GA 30046-6929
(470) 589-2648
Mailing address
2354 MITFORD CT, DACULA, GA 30019-7404
(470) 589-2648
(470) 239-6810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2022
Last updated
10/07/2024
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