Organization
HEALTHY MIND AND BODY CARE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA HUFF FNP-C, PMHNP-BC (PRESIDENT)
(601) 983-9110
Entity
Organization
Contact information
Practice address
3056 LOBELLA DR, GROVETOWN, GA 30813-0510
(601) 983-9110
Mailing address
3056 LOBELLA DR, GROVETOWN, GA 30813-0510
(601) 983-9110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003292129B
—
GA
Enumeration date
02/29/2024
Last updated
02/29/2024
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