Fresh Start For The Mind, Llc | |
4080 Mcginnis Ferry Rd Suite 204 Alpharetta GA 30005-3948 | |
(404) 808-1161 | |
(404) 464-0784 |
Full Name | Fresh Start For The Mind, Llc |
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Speciality | Psychologist |
Location | 4080 Mcginnis Ferry Rd, Alpharetta, Georgia |
Authorized Official Name and Position | Brooke A Jones (PSYCHOLOGIST) |
Authorized Official Contact | 4048081161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fresh Start For The Mind, Llc 2630 Maple Leaf Ter Cumming GA 30041-6617 Ph: (404) 464-0784 | Fresh Start For The Mind, Llc 4080 Mcginnis Ferry Rd Suite 204 Alpharetta GA 30005-3948 Ph: (404) 808-1161 |
NPI Number | 1184966061 |
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Provider Enumeration Date | 03/19/2013 |
Last Update Date | 03/19/2013 |
Medicare PECOS PAC ID | 2466681283 |
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Medicare Enrollment ID | O20140127000944 |
Identifier | Type | State | Issuer |
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1184966061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | PSY003516 (Georgia) | Primary |
Provider Name | Natasha G Thomas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447382908 PECOS PAC ID: 9739205923 Enrollment ID: I20100924000712 |
Provider Name | Brooke A Jones |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619254125 PECOS PAC ID: 6507032703 Enrollment ID: I20120109000917 |
Provider Name | Jacquelyn D. Mckinney |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437555877 PECOS PAC ID: 2769760743 Enrollment ID: I20161026000412 |
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