| Essential Mental And Healthcare Services Llc | |
|
3008 Edgefield Dr Sw Marietta GA 30008-7665 | |
| (678) 497-5145 | |
| Not Available |
| Full Name | Essential Mental And Healthcare Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3008 Edgefield Dr Sw, Marietta, Georgia |
| Authorized Official Name and Position | Mirianda Ndaptso (CEO) |
| Authorized Official Contact | 6784975145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Mental And Healthcare Services Llc 3008 Edgefield Dr Sw Marietta GA 30008-7665 Ph: (678) 497-5145 | Essential Mental And Healthcare Services Llc 3008 Edgefield Dr Sw Marietta GA 30008-7665 Ph: (678) 497-5145 |
| NPI Number | 1568057487 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 5597168039 |
|---|---|
| Medicare Enrollment ID | O20221005001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568057487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Mirianda Ndaptso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205429941 PECOS PAC ID: 2769885201 Enrollment ID: I20221005001918 |
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