# HALLWAYSMENTALHEALTHLLC

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

## Provider details

- **NPI number:** 1871394486
- **Authorized official:** ANDREA HALL PMNHP (OWNER/PSYCHIATRIC NURSE PRACTITIONE)
- **Authorized official phone:** (706) 262-4895

## Contact information

- **Practice address:** 224 CAROLETON DR, GROVETOWN, GA 30813-0318
- **Practice address phone:** (216) 269-2104
- **Mailing address:** 3711 EXECUTIVE CENTER DR STE 102-3, MARTINEZ, GA 30907-0951
- **Mailing address phone:** (706) 262-4895
- **Mailing address fax:** (801) 730-1564

## 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:** 03/20/2025
- **Last updated:** 12/12/2025