Gwinnett Holistic Psychiatry, LLC
Psychiatry & Neurology, Psychiatry in Lilburn, GA. Organization (NPI-2).
NPI number1003752247
StatusActive
Last updated in NPPESApr 28, 2026
Details
- NPI
- 1003752247
- Entity type
- Organization (NPI-2)
- Legal business name
- Gwinnett Holistic Psychiatry, LLC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2026
- Certification date
- Apr 28, 2026
- Last updated
- Apr 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
912 Killian Hill Rd Sw Ste 202nLilburn, GA 30047-3110
Phone 678-400-4424
Mailing address
4335 Bending River Trl SwLilburn, GA 30047-4554
Authorized official
Thomas Yun
Owner
6784004424
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