| Foresight Mental Health Group Pllc | |
|
465 Winn Way Ste 221 Decatur GA 30030-1723 | |
| (888) 588-8995 | |
| (510) 756-0812 |
| Full Name | Foresight Mental Health Group Pllc |
|---|---|
| Speciality | Counselor |
| Location | 465 Winn Way Ste 221, Decatur, Georgia |
| Authorized Official Name and Position | Gwendolyn Mucino Martinez (SR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8885888995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foresight Mental Health Group Pllc Po Box 530077 Atlanta GA 30353-0077 Ph: () - | Foresight Mental Health Group Pllc 465 Winn Way Ste 221 Decatur GA 30030-1723 Ph: (888) 588-8995 |
| NPI Number | 1477222040 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 8426442435 |
|---|---|
| Medicare Enrollment ID | O20220318000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477222040 | NPI | - | NPPES |
| Provider Name | Todd M Antin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598714073 PECOS PAC ID: 8426223231 Enrollment ID: I20111206000681 |
| Provider Name | Belinda Jane Milford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619133030 PECOS PAC ID: 1557611662 Enrollment ID: I20220414000974 |
| Provider Name | Zohaib Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023541935 PECOS PAC ID: 8123398658 Enrollment ID: I20230322000101 |
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