Healing Mind and Body LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

HEALING MIND AND BODY LLC

Practice address

2225 Godby Rd Ste B200
College Park, GA 30349-5012

Phone

(678) 764-8919

NPI assigned

Sep 2, 2022

Last updated

Sep 3, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nancy Young, PMHNP-BCNPI 1639416126

Title

Nurse Practitioner

Phone

(678) 764-8919

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Nancy Young, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • College Park, GA
  • NPI 1639416126
  Medicare reassignment Care Compare group Authorized official
• Finda Kaimachiande, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • College Park, GA
  • NPI 1447591771
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1215657853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BANKS STA STE 1120",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147503",
            "telephone_number": "678-764-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 GODBY RD STE B200",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495012",
            "telephone_number": "678-764-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-764-8919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Harris, RPH
• Tabatha Harris
• Alex Christopher Harvey, D.M.D.
• Shamira Hathorne Wyatt
• Valarie Alesia Haynes, RRT
• Healthcare at College Park, LLC
• Healthstat Inc Southeaster Paper Atlanta
• Heart2 Heart Health
• Heavenly Sent
• Heirloom Private Home Care LLC

• Behavioral Neurology & Neuropsychiatry Physician in College Park, GA
• Providers in College Park, GA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.