Organization
PSYCHIATRIC HEALING FOR ALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH FORD PMHNP (OWNER)
(770) 377-0741
Entity
Organization
Contact information
Practice address
1275 SHILOH RD NW STE 2770, KENNESAW, GA 30144-7198
(404) 426-3010
(404) 426-3010
Mailing address
1275 SHILOH RD NW STE 2770, KENNESAW, GA 30144-7198
(404) 426-3010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
07/26/2022
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