| Mental Health Comprehensive Services | |
|
7100 Peachtree Dunwoody Rd Ste 200 Atlanta GA 30328 | |
| (678) 302-1945 | |
| (404) 601-1386 |
| Full Name | Mental Health Comprehensive Services |
|---|---|
| Speciality | Counselor |
| Location | 7100 Peachtree Dunwoody Rd Ste 200, Atlanta, Georgia |
| Authorized Official Name and Position | Keely R Foster (OWNER) |
| Authorized Official Contact | 6783021945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Comprehensive Services 7100 Peachtree Dunwoody Rd Ste 200 Atlanta GA 30328-1689 Ph: (678) 302-1945 | Mental Health Comprehensive Services 7100 Peachtree Dunwoody Rd Ste 200 Atlanta GA 30328 Ph: (678) 302-1945 |
| NPI Number | 1033321583 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 0345331369 |
|---|---|
| Medicare Enrollment ID | O20070806000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033321583 | NPI | - | NPPES |
| 882057407A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC2638 (Georgia) | Primary |
| Provider Name | Walter J Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578617254 PECOS PAC ID: 3971490327 Enrollment ID: I20040302000090 |
| Provider Name | Omolola Otubaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595566 PECOS PAC ID: 3779863188 Enrollment ID: I20161130002356 |
| Provider Name | Tshaun Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336775550 PECOS PAC ID: 3971934894 Enrollment ID: I20201028002685 |
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