Organization Active NPI

Manifesting Minds, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1669081543
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MANIFESTING MINDS, LLC
Doing business as
The Psych Whisperer
Practice address
1092 Eagles Landing Pkwy
Stockbridge, GA 30281-5012
Phone
(470) 914-7600
Fax
(470) 437-3209
NPI assigned
Jul 28, 2020
Organization subpart
Yes
Parent organization
MANIFESTING MINDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Lori D. Thornton, APRN, MSN, PMHNP-BC
Title
Psychiatric Nurse Practitioner
Phone
(470) 336-0474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1092 Eagles Landing Pkwy
Stockbridge, GA 30281-5012

Mailing address

710 Dacula Rd Ste 4a
Dacula, GA 30019-7014
Phone (470) 336-0474

Other practice location 1

5940 S Rainbow Blvd Ste 740
Las Vegas, NV 89118-2506
Phone (702) 835-9300

Other names 1

  • The Psych Whisperer Doing business as

National Provider Directory

National Provider Directory
Part of
Manifesting Minds LLC

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1669081543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DACULA RD STE 4A",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197014",
            "telephone_number": "470-336-0474",
            "fax_number": "470-437-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815012",
            "telephone_number": "470-914-7600",
            "fax_number": "470-437-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5940 S Rainbow Blvd Ste 740",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891182506",
            "country_code": "US",
            "telephone_number": "702-835-9300",
            "fax_number": "470-437-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANIFESTING MINDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANIFESTING MINDS, LLC",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "470-336-0474",
        "authorized_official_credential": "APRN, MSN, 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": "The Psych Whisperer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Psych Whisperer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.