| Mindful Sport And Performance | |
|
401 S Main St Alpharetta GA 30009-1974 | |
| (404) 783-8135 | |
| Not Available |
| Full Name | Mindful Sport And Performance |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 401 S Main St, Alpharetta, Georgia |
| Authorized Official Name and Position | Shena F Locke (CEO) |
| Authorized Official Contact | 4047838135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Sport And Performance 401 S Main St Alpharetta GA 30009-1974 Ph: (404) 783-8135 | Mindful Sport And Performance 401 S Main St Alpharetta GA 30009-1974 Ph: (404) 783-8135 |
| NPI Number | 1508470428 |
|---|---|
| Provider Enumeration Date | 09/08/2020 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508470428 | NPI | - | NPPES |
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