Organization
SELF-CARE MENTAL HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA SHEPPARD-THORNTON DNP, PMHNP-BC (CEO/PMHNP)
(718) 715-6993
Entity
Organization
Contact information
Practice address
600 WESTRIDGE PKWY STE 714, MCDONOUGH, GA 30253-7789
(718) 715-6993
Mailing address
205 BENEFIELD CT, STOCKBRIDGE, GA 30281-0965
(718) 715-6993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
09/20/2021
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