Organization
VISIONARY BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA HUFF (NURSE PRACTITIONER)
(404) 482-1944
Entity
Organization
Contact information
Practice address
85 W CANDLER ST, WINDER, GA 30680-2503
(404) 482-1944
Mailing address
112 SHALLOW WAY, WINDER, GA 30680-4520
(404) 482-1944
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN201451
LICENSE NUMBER
GA
Enumeration date
04/15/2024
Last updated
05/05/2024
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