| Clear Minds Family Center Llc | |
|
7 The Farm Rd Mcdonough GA 30252-5619 | |
| (702) 809-7855 | |
| Not Available |
| Full Name | Clear Minds Family Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7 The Farm Rd, Mcdonough, Georgia |
| Authorized Official Name and Position | Nastazia Guy (MANAGING MEMBER) |
| Authorized Official Contact | 7028097855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Minds Family Center Llc 7 The Farm Rd Mcdonough GA 30252-5619 Ph: (702) 809-7855 | Clear Minds Family Center Llc 7 The Farm Rd Mcdonough GA 30252-5619 Ph: (702) 809-7855 |
| NPI Number | 1770022725 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Medicare PECOS PAC ID | 2466873062 |
|---|---|
| Medicare Enrollment ID | O20200608001871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770022725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Radesa Wade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053528893 PECOS PAC ID: 7911228309 Enrollment ID: I20150610002717 |
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