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Organization

NOUVEAUX U BEHAVIORAL HEALTH PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA PAULINE NP (CEO)
(908) 400-5058
Entity
Organization

Contact information

Practice address
2675 MALL OF GEORGIA BLVD STE 103, BUFORD, GA 30519-8783
(678) 979-3905
Mailing address
2675 MALL OF GEORGIA BLVD STE 103, BUFORD, GA 30519-8783
(678) 979-3905

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/14/2025
Last updated
03/14/2025
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