| Maternally Mindful Counseling Center, Llc | |
|
225 Reformation Pkwy Ste 200 Canton GA 30114-2915 | |
| (678) 310-9216 | |
| Not Available |
| Full Name | Maternally Mindful Counseling Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 225 Reformation Pkwy Ste 200, Canton, Georgia |
| Authorized Official Name and Position | Shannon Weist (DIRECTOR/THERAPIST) |
| Authorized Official Contact | 6783109216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternally Mindful Counseling Center, Llc 225 Reformation Pkwy Ste 200 Canton GA 30114-2915 Ph: (678) 310-9216 | Maternally Mindful Counseling Center, Llc 225 Reformation Pkwy Ste 200 Canton GA 30114-2915 Ph: (678) 310-9216 |
| NPI Number | 1770244709 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 09/04/2022 |
| Certification Date | 09/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770244709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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