| Northeast Georgia Mental Health Services, Llc | |
|
285 S Perry St Lawrenceville GA 30046-4840 | |
| (770) 307-8053 | |
| (770) 783-6334 |
| Full Name | Northeast Georgia Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 285 S Perry St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Anmei Cai (OWNER) |
| Authorized Official Contact | 7703078053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Mental Health Services, Llc 1000 Peachtree Industrial Blvd Suite 6-186 Suwanee GA 30024-6737 Ph: (770) 307-8053 | Northeast Georgia Mental Health Services, Llc 285 S Perry St Lawrenceville GA 30046-4840 Ph: (770) 307-8053 |
| NPI Number | 1336430263 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336430263 | NPI | - | NPPES |
| 863979251 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 062482 (Georgia) | Primary |
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