| Georgia Mind Center Llc | |
|
1775 Parker Rd Se Building C, Suite 210 Conyers GA 30094-6654 | |
| (678) 559-1943 | |
| Not Available |
| Full Name | Georgia Mind Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1775 Parker Rd Se, Conyers, Georgia |
| Authorized Official Name and Position | Sherjuana Davis (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6785591943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Mind Center Llc Po Box 161046 Atlanta GA 30321-1046 Ph: (678) 559-1943 | Georgia Mind Center Llc 1775 Parker Rd Se Building C, Suite 210 Conyers GA 30094-6654 Ph: (678) 559-1943 |
| NPI Number | 1548950843 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548950843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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