| Matlock Resource Center, Llc | |
|
2180 Satellite Blvd Ste 400 Duluth GA 30097-4927 | |
| (770) 464-5831 | |
| Not Available |
| Full Name | Matlock Resource Center, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2180 Satellite Blvd Ste 400, Duluth, Georgia |
| Authorized Official Name and Position | Tamela Mcdonald (CEO/LEAD THERAPIST) |
| Authorized Official Contact | 7704645831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matlock Resource Center, Llc Po Box 711 Duluth GA 30096-0013 Ph: () - | Matlock Resource Center, Llc 2180 Satellite Blvd Ste 400 Duluth GA 30097-4927 Ph: (770) 464-5831 |
| NPI Number | 1639684533 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639684533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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