Organization
BEYOND MENTAL HEALTH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CULL (CEO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
203 WOODPARK PL, WOODSTOCK, GA 30188-3705
(678) 269-7301
Mailing address
203 WOODPARK PL, WOODSTOCK, GA 30188-3705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
11/18/2022
Last updated
08/03/2023
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