DIVERSE DREAMS LLC
NPI 1801788096
Nurse Practitioner - Psychiatric/Mental Health in Douglasville, GA

NPI Status: Active since July 21, 2025

Contact Information

2959 CHAPEL HILL RD STE D1185
DOUGLASVILLE, GA
ZIP 30135
Phone: (706) 883-5885

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About DIVERSE DREAMS LLC

This page provides the complete NPI Profile along with additional information for Diverse Dreams Llc, a provider established in Douglasville, Georgia operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1801788096 assigned on July 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tina Ezeh (Ceo)

NPI
1801788096
Provider Name
DIVERSE DREAMS LLC
Entity Type
Organization
Location Address
2959 CHAPEL HILL RD STE D1185 DOUGLASVILLE, GA 30135
Location Phone
(706) 883-5885
Mailing Address
5945 AZALEA RIDGE DR DOUGLASVILLE, GA 30135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2025
Last Update Date
07-21-2025
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A nurse practitioner (NP) like Diverse Dreams Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TINA EZEH

Authorized Official Title
CEO
Authorized Official Phone
(706) 883-5885

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801788096
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280114816018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 4 + 8 + 1 + 6 + 0 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1801788096 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801788096, enumerated in the NPI registry as an "organization" on July 21, 2025

The provider is located at 2959 Chapel Hill Rd Ste D1185 Douglasville, Ga 30135 and the phone number is (706) 883-5885

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on July 21, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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