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Organization
HONOR THY MIND LLC
Active
Organization
HONOR THY MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA CLARKE NP (PROVIDER)
(470) 899-6852
Entity
Organization
Contact information
Practice address
520 BRIGHTFIELD DRIVE, LOGANVILLE, GA 30052
(470) 899-6852
Mailing address
1495 DULUTH HWY STE F #3009, LAWRENCEVILLE, GA 30043
(470) 899-6852
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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