| Blue Epiphanies | |
|
1686 Dunton Green Way Lawrenceville GA 30043-7531 | |
| (470) 207-2410 | |
| Not Available |
| Full Name | Blue Epiphanies |
|---|---|
| Speciality | Psychologist |
| Location | 1686 Dunton Green Way, Lawrenceville, Georgia |
| Authorized Official Name and Position | Brandon Landry (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 4702072410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Epiphanies 1686 Dunton Green Way Lawrenceville GA 30043-7531 Ph: (470) 207-2410 | Blue Epiphanies 1686 Dunton Green Way Lawrenceville GA 30043-7531 Ph: (470) 207-2410 |
| NPI Number | 1376343699 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376343699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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