Organization
ABOVE THE SPECTRUM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYTISSUE ALLEN NURSE (OWNER, REGISTERED NURSE)
(334) 440-9975
Entity
Organization
Contact information
Practice address
1392 DAYSPRING TRCE, LAWRENCEVILLE, GA 30045-5475
(334) 440-9975
Mailing address
1392 DAYSPRING TRCE, LAWRENCEVILLE, GA 30045-5475
(334) 440-9975
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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