GREEN MIND BEHAVIORAL HEALTH SERVICES LLC
NPI 1396568911
Nurse Practitioner - Psychiatric/Mental Health in Stone Mountain, GA

Active since November 02, 2024
5385 FIVE FORKS TRICKUM RD, STONE MOUNTAIN, GA 30087(770) 766-3003(770) 599-5966 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Mind Behavioral Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN MIND BEHAVIORAL HEALTH SERVICES LLC (NPI 1396568911) is a healthcare organization registered as a psychiatric/mental health in Stone Mountain, Georgia and active in the NPI registry since November 2024. The organization lists Aisha Adigun, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1396568911
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGREEN MIND BEHAVIORAL HEALTH SERVICES LLC
Location Address5385 FIVE FORKS TRICKUM RDStone Mountain, GA 30087-3018
Mailing Address5385 Five Forks Trickum Rd Ste FStone Mountain, GA 30087-3018 · (770) 766-3003 · Fax (770) 599-5966
Fax(770) 599-5966
Organization SubpartNo
Authorized OfficialAisha AdigunPmhnp-bc · (770) 766-3003
Enumeration DateNovember 2, 2024
Last NPPES UpdateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
NPI 1396568911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5385 FIVE FORKS TRICKUM RD, Stone Mountain, GA 30087

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
5385 FIVE FORKS TRICKUM RD, SUITE F
STONE MOUNTAIN, GA 30087
Chiropractor
5385 FIVE FORKS TRICKUM RD
STONE MOUNTAIN, GA 30087
Podiatrist (Foot & Ankle Surgery)
5385 FIVE FORKS TRICKUM RD, SUITE F
STONE MOUNTAIN, GA 30087
Durable Medical Equipment & Medical Supplies
5385 FIVE FORKS TRICKUM RD, SUITE H
STONE MOUNTAIN, GA 30087
Podiatrist (Foot Surgery)
5385 FIVE FORKS TRICKUM RD, SUITE F
STONE MOUNTAIN, GA 30087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Mind Behavioral Health Services LLC's NPI number?

The NPI number for Green Mind Behavioral Health Services LLC is 1396568911. It was assigned to this organization in the NPPES registry on November 2, 2024.

Where is Green Mind Behavioral Health Services LLC located?

Green Mind Behavioral Health Services LLC is located at 5385 Five Forks Trickum Rd, Stone Mountain, GA 30087. The listed phone number is (770) 766-3003.

What is Green Mind Behavioral Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Green Mind Behavioral Health Services LLC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.