Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diverse Dreams LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1801788096

Diverse Dreams LLC is a Psychiatric/Mental Health Nurse Practitioner in Douglasville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2959 Chapel Hill Rd Ste D1185
Douglasville, GA 30135-1785
Phone: (706) 883-5885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1801788096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Ezeh — Ceo · (706) 883-5885
NPI enumeratedJuly 21, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address5945 Azalea Ridge Dr, Douglasville, GA 30135-5590

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