Organization
BEAUTIFUL MINDS OF FAYETTEVILLE LLC
Active
Organization
BEAUTIFUL MINDS OF FAYETTEVILLE LLC
Active
Other names
Stacey L. Mitchell
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY LASANDRA MITCHELL NP (OWNER)
(678) 590-1232
Entity
Organization
Contact information
Practice address
220 SYCAMORE BND, FAYETTEVILLE, GA 30214-1201
(678) 590-1232
(470) 381-1502
Mailing address
1415 HIGHWAY 85 N STE 310-390, FAYETTEVILLE, GA 30214-7738
(678) 590-1232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
12/30/2021
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