Individual
BECKIE LOVE DE LA MOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4393 MINERS CREEK RD, LITHONIA, GA 30038-3818
(404) 372-7788
Mailing address
4393 MINERS CREEK RD, LITHONIA, GA 30038-3818
(404) 372-7788
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
207974
GA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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