# NIMBA INTEGRATIVE PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NONE
- **Other names:** NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902591472
- **Legal business name:** NONE
- **Authorized official:** MRS. ASATA KAMARA APRN ASATA KAMARA DNP (OWNER)
- **Authorized official phone:** (470) 918-9719

## Contact information

- **Practice address:** 5300 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3154
- **Practice address phone:** (470) 918-9719
- **Mailing address:** 5300 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 10/11/2023