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GRACE FOMUNUNG SOLE MBR
NPI 1619612876
Nurse Practitioner - Psychiatric/Mental Health in Dacula, GA

Active since May 02, 2022
3206 THIMBLEBERRY TRL, DACULA, GA 30019(404) 819-7338 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2022, May 2, 2022 (2 updates tracked since 2022).

About Grace Fomunung Sole Mbr NPPES

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

GRACE FOMUNUNG SOLE MBR (NPI 1619612876) is a healthcare organization registered as a psychiatric/mental health in Dacula, Georgia and active in the NPI registry since May 2022. The organization lists Grace Fomunung, Manager, as its authorized official.

NPPES Registry Identity

NPI1619612876
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJEHOVAHS BEHAVIORAL CARE LLC
Location Address3206 THIMBLEBERRY TRLDacula, GA 30019-7299
Mailing Address4652 Lawrenceville Hwy NwLilburn, GA 30047-3621 · (404) 819-7338
Phone(404) 819-7338
Organization SubpartNo
Authorized OfficialGrace FomunungManager · (404) 819-7338
Enumeration DateMay 2, 2022
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1619612876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
3206 THIMBLEBERRY TRL, Dacula, GA 30019
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Other Names 1

Doing Business AsGrace Fomunung Sole Mbr

Other Providers at the Same Location NPPES

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

GRACE TAMU FOMUNUNG NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
3206 THIMBLEBERRY TRL
DACULA, GA 30019
Gwinnett County (404) 819-7338

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 Jehovahs Behavioral Care LLC's NPI number?

The NPI number for Jehovahs Behavioral Care LLC is 1619612876. It was assigned to this organization in the NPPES registry on May 2, 2022. The provider is doing business as Grace Fomunung Sole Mbr.

Where is Jehovahs Behavioral Care LLC located?

Jehovahs Behavioral Care LLC is located at 3206 Thimbleberry Trl, Dacula, GA 30019. The listed phone number is (404) 819-7338.

What is Jehovahs Behavioral Care 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 Jehovahs Behavioral Care LLC was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.