| Inmind Llc | |
|
514 W. Bankhead Hwy Ste 100 Villa Rica GA 30180 | |
| (678) 941-3868 | |
| (678) 941-3217 |
| Full Name | Inmind Llc |
|---|---|
| Speciality | Counselor |
| Location | 514 W. Bankhead Hwy, Villa Rica, Georgia |
| Authorized Official Name and Position | Dana M Nummerdor (OWNER / COUNSELOR) |
| Authorized Official Contact | 6789413868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inmind Llc 514 W. Bankhead Hwy Ste 100 Villa Rica GA 30180 Ph: (678) 941-3836 | Inmind Llc 514 W. Bankhead Hwy Ste 100 Villa Rica GA 30180 Ph: (678) 941-3868 |
| NPI Number | 1982096939 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982096939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC006575 (Georgia) | Primary |
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