Active NPI
Beyond Mental Wellness
- Psychiatric/Mental Health Nurse Practitioner
- College Park, GA
National Provider Identifier
1174464069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BEYOND MENTAL WELLNESS
- Practice address
- 3755 Main St Unit 101
College Park, GA 30337-3543 - Phone
- (678) 632-5331
- Fax
- (551) 214-0934
- NPI assigned
- Apr 3, 2026
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shante Young, DNP, FNP-C, PMHNP-BC
- Title
- Founder
- Phone
- (678) 632-5331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3755 Main St Unit 101
College Park, GA 30337-3543
Mailing address
390 Darien Dr
Senoia, GA 30276-3609
Phone (678) 632-5331
Other names 1
- Beyond Mental Wellness, PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Newnan, GA
- NPI 1811389869
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1174464069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 DARIEN DR",
"city": "SENOIA",
"state": "GA",
"postal_code": "302763609",
"telephone_number": "678-632-5331",
"fax_number": "551-214-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 MAIN ST UNIT 101",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303373543",
"telephone_number": "678-632-5331",
"fax_number": "551-214-0934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND MENTAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-03",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SHANTE",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "678-632-5331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beyond Mental Wellness, PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.