Mental Space Llc | |
4408 Columbia Rd Ste 104 Martinez GA 30907-4561 | |
(707) 819-1390 | |
Not Available |
Full Name | Mental Space Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4408 Columbia Rd Ste 104, Martinez, Georgia |
Authorized Official Name and Position | Jessica Stringfield (OWNER) |
Authorized Official Contact | 7066191390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mental Space Llc Po Box 44163 Goodfellow Afb TX 76908-0163 Ph: (706) 619-1390 | Mental Space Llc 4408 Columbia Rd Ste 104 Martinez GA 30907-4561 Ph: (707) 819-1390 |
NPI Number | 1295372225 |
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Provider Enumeration Date | 12/10/2019 |
Last Update Date | 11/18/2021 |
Certification Date | 11/18/2021 |
Identifier | Type | State | Issuer |
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1295372225 | NPI | - | NPPES |
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