Organization
A HEALTHY MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA RENAE ODENIYI (OWNER/CEO)
(832) 248-4643
Entity
Organization
Contact information
Practice address
810 CLIFTON SPRINGS CLOSE DR STE 120, ATLANTA, GA 30349-8727
(832) 248-4643
Mailing address
2300 CAMP CREEK PKWY STE 120, COLLEGE PARK, GA 30337-3309
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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