Organization
GREEN MIND BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA ADIGUN (PMHNP-BC)
(770) 766-3003
Entity
Organization
Contact information
Practice address
5385 FIVE FORKS TRICKUM RD, STONE MOUNTAIN, GA 30087-3018
(770) 766-3003
(770) 599-5966
Mailing address
5385 FIVE FORKS TRICKUM RD STE F, STONE MOUNTAIN, GA 30087-3018
(770) 766-3003
(770) 599-5966
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2024
Last updated
12/19/2024
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