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Organization

HEALTHY MINDS PSYCHOLOGY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEVAN N ISOM (OFFICE MANGER, BILLER, CREDENTIALIN)
(706) 888-5599
Entity
Organization

Contact information

Practice address
3760 LAVISTA RD STE 102, TUCKER, GA 30084-5622
(770) 375-8124
(770) 559-5543
Mailing address
3760 LAVISTA RD STE 102, TUCKER, GA 30084-5622
(770) 375-8124
(770) 559-5543

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker

Other

Enumeration date
05/21/2014
Last updated
08/28/2024
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