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

Micgra Telehealth LLLP

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1013548981

Micgra Telehealth LLLP is a Psychiatric/Mental Health Nurse Practitioner in Dallas, Georgia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

301 White Ingram Pkwy Ste C
Dallas, GA 30132-5066
Phone: (404) 751-3700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 Andover Park W Ste 200, Tukwila, WA 98188-3379 — (800) 867-1024

Specialties & licences

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

Record details

NPI number1013548981
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMicgra Telehealth LLLP
Authorized official Odette Amanda Butler — Owner · (404) 751-3700
Other names Micgra Psych Llc
NPI enumeratedJanuary 30, 2020
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address301 W I Pkwy Ste C, Dallas, GA 30132-5066

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