Organization
MENTAL HEALTH CAFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE DENISE MOORE PMHNP-BC (OWNER/PSYCHIATRIC NURSE PRACTITIONE)
(202) 571-8134
Entity
Organization
Contact information
Practice address
377 GRANT CIR SE APT 1714, ATLANTA, GA 30315-2201
(864) 200-8345
Mailing address
377 GRANT CIR SE APT 1714, ATLANTA, GA 30315-2201
(864) 200-8345
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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