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Organization
MINDSET FOR PROSPERITY LLC
Active
Organization
MINDSET FOR PROSPERITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LEONARD APRN, PMHNP (OWNER)
(706) 406-5093
Entity
Organization
Contact information
Practice address
409 W 10TH ST NE, ROME, GA 30165-2640
(706) 406-5093
Mailing address
409 W 10TH ST NE, ROME, GA 30165-2640
(706) 406-5093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
08/21/2026
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