| Blueprint Tms& Wellness Centers Of America | |
|
1635 Highway 34 E # C2 Newnan GA 30265-2173 | |
| (678) 619-5151 | |
| Not Available |
| Full Name | Blueprint Tms& Wellness Centers Of America |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1635 Highway 34 E # C2, Newnan, Georgia |
| Authorized Official Name and Position | Crystal Nelson (OWNER) |
| Authorized Official Contact | 4048592247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Tms& Wellness Centers Of America 1635 Highway 34 E # C2 Newnan GA 30265-2173 Ph: (678) 619-5151 | Blueprint Tms& Wellness Centers Of America 1635 Highway 34 E # C2 Newnan GA 30265-2173 Ph: (678) 619-5151 |
| NPI Number | 1073233193 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 5991160251 |
|---|---|
| Medicare Enrollment ID | O20230420002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073233193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Crystal Lewis Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437356870 PECOS PAC ID: 5496915209 Enrollment ID: I20120330000607 |
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