Organization
GREENER PASTURE S MENTAL WELNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA HENRY MORRISON PMHNP (OWNER)
(954) 740-3890
Entity
Organization
Contact information
Practice address
113 S PERRY ST STE 206, LAWRENCEVILLE, GA 30046-4811
(954) 740-3890
Mailing address
113 S PERRY ST STE 206, LAWRENCEVILLE, GA 30046-4811
(954) 740-3890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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