| Kinder Minds Behavioral Health Llc | |
|
1003 Bombay Ln Roswell GA 30076-5820 | |
| (918) 691-1237 | |
| Not Available |
| Full Name | Kinder Minds Behavioral Health Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1003 Bombay Ln, Roswell, Georgia |
| Authorized Official Name and Position | Shital P Gaitonde (OWNER) |
| Authorized Official Contact | 9186911237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinder Minds Behavioral Health Llc 1003 Bombay Ln Roswell GA 30076-5820 Ph: (918) 691-1237 | Kinder Minds Behavioral Health Llc 1003 Bombay Ln Roswell GA 30076-5820 Ph: (918) 691-1237 |
| NPI Number | 1447764246 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447764246 | NPI | - | NPPES |
| 003136924A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003646 (Georgia) | Primary |
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