Organization
BALANCED MIND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA MAXWELL (OWNER)
(470) 516-4399
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(470) 516-4399
Mailing address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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