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Organization

DIVINE PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW PIERCE (AUTHORIZED INDIVIDUAL)
(307) 683-0983
Entity
Organization

Contact information

Practice address
800 OLD ROSWELL LAKES PKWY STE 360, ROSWELL, GA 30076-1692
(404) 491-1662
(678) 394-0505
Mailing address
3060 MERCER UNIVERSITY DR STE 110, ATLANTA, GA 30341-4135
(404) 491-1662
(678) 394-0505

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/24/2025
Last updated
04/02/2026
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