Healthy Mind - Full Life, Llc | |
1778 Century Blvd Ne Ste A Atlanta GA 30345-3398 | |
(202) 352-5891 | |
Not Available |
Full Name | Healthy Mind - Full Life, Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1778 Century Blvd Ne Ste A, Atlanta, Georgia |
Authorized Official Name and Position | Kendall L Blake (OWNER) |
Authorized Official Contact | 2023525891 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healthy Mind - Full Life, Llc 1778 Century Blvd Ne Ste A Atlanta GA 30345-3398 Ph: (202) 352-5891 | Healthy Mind - Full Life, Llc 1778 Century Blvd Ne Ste A Atlanta GA 30345-3398 Ph: (202) 352-5891 |
NPI Number | 1396316915 |
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Provider Enumeration Date | 07/06/2021 |
Last Update Date | 07/06/2021 |
Certification Date | 07/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396316915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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