| Hannah Executive Group, Llc | |
|
1514 Cleveland Avenue East Point GA 30344 | |
| (404) 462-4779 | |
| (877) 268-1293 |
| Full Name | Hannah Executive Group, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1514 Cleveland Avenue, East Point, Georgia |
| Authorized Official Name and Position | Kenyotta Hannah (CEO) |
| Authorized Official Contact | 4049640906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Executive Group, Llc Po Box 33 Dover GA 30424 Ph: (404) 462-4779 | Hannah Executive Group, Llc 1514 Cleveland Avenue East Point GA 30344 Ph: (404) 462-4779 |
| NPI Number | 1902365018 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902365018 | NPI | - | NPPES |
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