| Healthy Minds Services Llc | |
|
345 Chapell Road Atlanta GA 30318-6533 | |
| (404) 921-9598 | |
| Not Available |
| Full Name | Healthy Minds Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 345 Chapell Road, Atlanta, Georgia |
| Authorized Official Name and Position | Kimberly Davis (CREDENTIALING SPECIALISTA) |
| Authorized Official Contact | 9123734385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Services Llc 4401 E Independence Blvd Ste 208g Charlotte NC 28205-7485 Ph: (704) 833-8355 | Healthy Minds Services Llc 345 Chapell Road Atlanta GA 30318-6533 Ph: (404) 921-9598 |
| NPI Number | 1609650258 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 8325483167 |
|---|---|
| Medicare Enrollment ID | O20240301003462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609650258 | NPI | - | NPPES |
| Provider Name | Russell E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194769257 PECOS PAC ID: 5496640120 Enrollment ID: I20050318000751 |
| Provider Name | Chandra Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497294102 PECOS PAC ID: 5193000602 Enrollment ID: I20170324001191 |
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