| Mindful Health Solutions | |
|
470 N Sessions St Nw Marietta GA 30060-1326 | |
| (844) 867-8444 | |
| Not Available |
| Full Name | Mindful Health Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 470 N Sessions St Nw, Marietta, Georgia |
| Authorized Official Name and Position | Sonia Clark (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4156366955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Health Solutions 360 Post St Ste 500 San Francisco CA 94108-4908 Ph: (844) 867-8444 | Mindful Health Solutions 470 N Sessions St Nw Marietta GA 30060-1326 Ph: (844) 867-8444 |
| NPI Number | 1982354395 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 0547642803 |
|---|---|
| Medicare Enrollment ID | O20220802004092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982354395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Bakari E Vickerson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437310380 PECOS PAC ID: 9436308673 Enrollment ID: I20121004000095 |
| Provider Name | Gowri Padma Thummala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831622612 PECOS PAC ID: 4082018569 Enrollment ID: I20210805000409 |
| Provider Name | Katie Noll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144806746 PECOS PAC ID: 5193194298 Enrollment ID: I20221213000394 |
| Provider Name | Joy Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396327367 PECOS PAC ID: 6002252806 Enrollment ID: I20240315000689 |
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