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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