Organization
HOLISTIC MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANA WILLIAMS (RCM)
(678) 820-9447
Entity
Organization
Contact information
Practice address
15 PERRY ST # 394, NEWNAN, GA 30263-1918
(678) 850-4807
Mailing address
15 PERRY ST # 394, NEWNAN, GA 30263-1918
(678) 850-4807
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249968
LICENSE
GA
Enumeration date
06/01/2022
Last updated
07/14/2023
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