| Minddevelopers Counseling & Supervision Pc | |
|
6750 Clearstream Way Austell GA 30168-6719 | |
| (229) 942-1318 | |
| Not Available |
| Full Name | Minddevelopers Counseling & Supervision Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6750 Clearstream Way, Austell, Georgia |
| Authorized Official Name and Position | Shannon Renard Wilkerson (CEO/CLINICAL THERAPIST & SUPERVISOR) |
| Authorized Official Contact | 2299421318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minddevelopers Counseling & Supervision Pc 5284 Floyd Rd Sw Unit 1308 Mableton GA 30126-6113 Ph: (229) 942-1318 | Minddevelopers Counseling & Supervision Pc 6750 Clearstream Way Austell GA 30168-6719 Ph: (229) 942-1318 |
| NPI Number | 1629847660 |
|---|---|
| Provider Enumeration Date | 01/01/2024 |
| Last Update Date | 01/01/2024 |
| Certification Date | 12/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629847660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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