MEDICARE: BAHBARRIE HOPE AND WELLNESS PSYCHIATRIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1760316947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAHBARRIE HOPE AND WELLNESS PSYCHIATRIC LLC

Provider Business Mailing Address
First Line	:	4775 PASTRY LN
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-3488
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4775 PASTRY LN
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-3488
Country	:	US
Telephone Number	:	678-357-8171
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMINATA BARRIE
Credential	:
Telephone Number	:	678-357-8171

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/16/2026

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