# JS HEALTHCARE, LLC.

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

## Provider details

- **NPI number:** 1831850163
- **Authorized official:** MRS. DEBRA HARVEY STEWART (CLINICAL DIRECTOR)
- **Authorized official phone:** (470) 450-1355

## Contact information

- **Practice address:** 175 LANGLEY DR STE 1, LAWRENCEVILLE, GA 30046-6929
- **Practice address phone:** (470) 589-2648
- **Mailing address:** 2354 MITFORD CT, DACULA, GA 30019-7404
- **Mailing address phone:** (470) 589-2648
- **Mailing address fax:** (470) 239-6810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2022
- **Last updated:** 10/07/2024