Organization
PSYCHIATRY AND WELLNESS OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KANYUIRA (PRESIDENT)
(678) 439-0017
Entity
Organization
Contact information
Practice address
620 COLONIAL PARK DR STE 100, ROSWELL, GA 30075-3746
(678) 439-0017
(678) 884-0761
Mailing address
620 COLONIAL PARK DR STE 100, ROSWELL, GA 30075-3746
(678) 439-0017
(678) 884-0761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
12/31/2024
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