| Mindrise, Llc | |
|
7459 Crescent Bend Cv Stone Mountain GA 30087-6207 | |
| (404) 709-8057 | |
| Not Available |
| Full Name | Mindrise, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7459 Crescent Bend Cv, Stone Mountain, Georgia |
| Authorized Official Name and Position | Shelly-anne Johnson (CEO) |
| Authorized Official Contact | 4047098057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindrise, Llc 7459 Crescent Bend Cv Stone Mountain GA 30087-6207 Ph: (404) 709-8057 | Mindrise, Llc 7459 Crescent Bend Cv Stone Mountain GA 30087-6207 Ph: (404) 709-8057 |
| NPI Number | 1255091815 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255091815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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