A Healthy Mind
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI 1003633926 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1003633926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- A HEALTHY MIND
- Practice address
- 810 Clifton Springs Close Dr Ste 120
Atlanta, GA 30349-8727 - Phone
- (832) 248-4643
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Carla Renae Odeniyi
- Title
- Owner/Ceo
- Phone
- (832) 248-4643
Practitioners 1
-
Carla Renae Odeniyi, PMHNP
National Provider Directory
Locations
2300 Camp Creek Pkwy
Ste 120
College Park, GA 30337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
810 Clifton Springs Close Dr Ste 120
Atlanta, GA 30349-8727
Mailing address
2300 Camp Creek Pkwy Ste 120
College Park, GA 30337-3309
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All providers in Atlanta, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.