OrganizationActive
Alice'S Psychiatry & Wellness, LLC
NPI 1407627805 · Psychiatric/Mental Health Nurse Practitioner · Lilburn, GA
Provider details
- NPI number
- 1407627805
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Omoyeme Ehizuelen, Nurse Practitioner(404) 566-8045
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
680 Hillcrest Rd Nw Ste 400
Lilburn, GA 30047-6898
Phone: (404) 566-8045
Fax: (404) 999-6787
Approximate (ZIP-level) locationGet directions
Mailing address
1700 Northside Drive Nw Suite A7
Atlanta, GA 30318
Registry dates
- Enumerated
- 2024-01-15
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.