| Mountain Mindfulness Therapy, Llc | |
|
2800 Scenic Dr Ste 4-301 Blue Ridge GA 30513-4453 | |
| (404) 566-7761 | |
| Not Available |
| Full Name | Mountain Mindfulness Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2800 Scenic Dr Ste 4-301, Blue Ridge, Georgia |
| Authorized Official Name and Position | Michelle Nelson (LCSW) |
| Authorized Official Contact | 4045617761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Mindfulness Therapy, Llc Po Box 812 Morganton GA 30560-0812 Ph: (404) 566-7761 | Mountain Mindfulness Therapy, Llc 2800 Scenic Dr Ste 4-301 Blue Ridge GA 30513-4453 Ph: (404) 566-7761 |
| NPI Number | 1659890929 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 02/12/2021 |
| Certification Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659890929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004103 (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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