Organization
MAXIMIZED MENTALITY
Active
Parent organization
MAXIMIZED MENTALITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAXIMIZED MENTALITY
Authorized official
DR. TREMEZE JACKSON DNP,PMHNP-BC, FNP-C (CEO/NURSE PRACTITIONER)
(770) 405-9855
Entity
Organization
Contact information
Practice address
3295 RIVER EXCHANGE DR STE 211, NORCROSS, GA 30092-4204
(770) 405-9855
Mailing address
5330 BROOKSTONE DR NW STE 250, ACWORTH, GA 30101-7183
(770) 405-9855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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