Organization
BLUEPRINT INTERVENTIONS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEYA NESBIT-GAITHER (CEO)
(404) 981-5248
Entity
Organization
Contact information
Practice address
611 LAKEWATER ESTATES LN, STONE MOUNTAIN, GA 30087-4999
(404) 931-5738
(404) 882-6281
Mailing address
PO BOX 870603, STONE MOUNTAIN, GA 30087-0016
(404) 931-5738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
02/07/2024
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