Organization
EXCEPTIONAL MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA MITONYA COVINGTON PMHNP (NURSE PRACTITIONER)
(773) 531-7603
Entity
Organization
Contact information
Practice address
675 MANSELL RD STE 115, ROSWELL, GA 30076-4877
(301) 664-0993
(404) 738-1162
Mailing address
1312 HADAWAY TRL, LAWRENCEVILLE, GA 30043-7201
(301) 664-0993
(404) 738-1162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184101297
IRS
GA
Enumeration date
12/12/2022
Last updated
10/27/2025
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