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Divine Mind Solution

Nurse Practitioner, Psych/Mental Health in Lawrenceville, GA. Organization (NPI-2).

NPI number1831998103
StatusActive
Last updated in NPPESMay 1, 2025

Details

NPI
1831998103
Entity type
Organization (NPI-2)
Legal business name
Divine Mind Solution
Organization subpart
No
Enumeration date
Mar 10, 2025
Certification date
May 1, 2025
Last updated
May 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes

Practice location

670 Paper Creek Dr
Lawrenceville, GA 30046-5329

Phone 770-256-6542 · Fax 770-513-9449

Mailing address

670 Paper Creek Dr
Lawrenceville, GA 30046-5329

Phone 770-256-6542 · Fax 770-513-9449

Authorized official

Bisi Yinusa
Owner
7702566542

Is something wrong?

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