| Mind Haven Llc | |
|
1561 Bramlett Hill Ln Lawrenceville GA 30045-2601 | |
| (843) 364-4374 | |
| Not Available |
| Full Name | Mind Haven Llc |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 1561 Bramlett Hill Ln, Lawrenceville, Georgia |
| Authorized Official Name and Position | Shonta Williams (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8433644374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Haven Llc 1561 Bramlett Hill Ln Lawrenceville GA 30045-2601 Ph: (843) 364-4374 | Mind Haven Llc 1561 Bramlett Hill Ln Lawrenceville GA 30045-2601 Ph: (843) 364-4374 |
| NPI Number | 1427774629 |
|---|---|
| Provider Enumeration Date | 10/18/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427774629 | NPI | - | NPPES |
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