MANIFESTING MINDS, LLC (NPI# 1669081543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669081543 |
| Entity Type | Organization |
| Organization Name | MANIFESTING MINDS, LLC |
| Practice Address |
1672 Weatherbrook Cir Lawrenceville GA 30043-4649 |
| Practice Telephone | 2255055717 |
| Mailing Telephone | 2255055717 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | LORI D THORNTON (OWNER) |
| Authorized Official Telephone | 2255055717 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | Y |
| Parent Organization Name | MANIFESTING MINDS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| The Psych Whisperer | Doing Business As Name - Organization |
| Street Address |
1672 WEATHERBROOK CIR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-4649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464183 | Lori D. Thornton | Nurse Practitioner | 1672 Weatherbrook Cir, Lawrenceville, GA 30043-4649 | 2020-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464183 | Lori D. Thornton | Nurse Practitioner | 1672 Weatherbrook Cir, Lawrenceville, GA 30043-4649 | 2020-07-17 |
| 1831735513 | Ifeoma Osijo | Nurse Practitioner | 1803 Great Shoals Cir, Lawrenceville, GA 30045-3781 | 2019-11-18 |
| 1992202774 | Chandria Jones | Nurse Practitioner | 2900 University Pkwy, Lawrenceville, GA 30043-4588 | 2018-04-09 |
| 1235539420 | Ugochi Chiazom Ekemezie | Nurse Practitioner | 2550 Us Highway 1, Lawrenceville, NJ 08609-1821 | 2014-08-26 |
| 1245639541 | Trina Sanders | Nurse Practitioner | 175 Gwinnette Dr, Lawrenceville, GA 30046 | 2014-08-22 |
| 1497302046 | Sandra Ann Peterson | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-08-19 |
| 1548728579 | Tara S Lynch | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-03-08 |
| 1073008983 | Ozidi Associates Inc | Nurse Practitioner | 31 E Darrah Ln, Lawrenceville, NJ 08648 | 2018-06-25 |
| 1679080469 | Behavioral Wellness Connection Be Well Connect | Nurse Practitioner | 22 Gordon Ave, Lawrenceville, NJ 08648 | 2018-01-03 |
| 1861927774 | Shirin Bibayan | Nurse Practitioner | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2017-04-28 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on MANIFESTING MINDS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.