Organization
GROWTH MINDSET WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY BATES APRN (OWNER)
(470) 275-2358
Entity
Organization
Contact information
Practice address
175 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7382
(470) 275-2358
Mailing address
175 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7382
(470) 275-2358
(470) 319-6353
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
02/02/2024
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