Tricia Ellen Moga Kellum is a Martinez, Georgia based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Tricia Ellen Moga Kellum is 287482 for Psych/Mental Health in Georgia. Her current practice location is 519 Blackburn Dr Ste 523, Martinez. Patients can reach her at 706-524-7134. Tricia Ellen Moga Kellum is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1700506565. Tricia Ellen Moga Kellum provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Tricia Ellen Moga Kellum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Tricia Ellen Moga Kellum
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
NP
Practice Address:
519 Blackburn Dr Ste 523, Martinez, Georgia, 30907-8202
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1700506565
NPI Enumeration Date:
31 Aug, 2022
NPI Last Update On:
07 Nov, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tricia Ellen Moga Kellum are as mentioned below.
License Number
Specialization
State
Status
287482
Psych/Mental Health
Georgia
Primary
61240711
Registered Nurse
Washington
Secondary
287482
Registered Nurse
Georgia
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tricia Ellen Moga Kellum 519 Blackburn Dr Ste 523, Martinez, Georgia
Zip:
30907-8202
Phone Number:
313-463-0399
Patients can reach Tricia Ellen Moga Kellum at 519 Blackburn Dr Ste 523, Martinez, Georgia or can call to book an appointment on 706-524-7134.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.