| Perspective Mental Health And Addiction, Llc | |
|
500 Sun Valley Dr Ste G2 Roswell GA 30076-5639 | |
| (678) 488-9563 | |
| Not Available |
| Full Name | Perspective Mental Health And Addiction, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 Sun Valley Dr Ste G2, Roswell, Georgia |
| Authorized Official Name and Position | Donte Randall (OWNER/ SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 6784889563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perspective Mental Health And Addiction, Llc 640 Oakmont Hl Duluth GA 30097-5744 Ph: (678) 488-9563 | Perspective Mental Health And Addiction, Llc 500 Sun Valley Dr Ste G2 Roswell GA 30076-5639 Ph: (678) 488-9563 |
| NPI Number | 1457074403 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Medicare PECOS PAC ID | 6406202027 |
|---|---|
| Medicare Enrollment ID | O20231102000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457074403 | NPI | - | NPPES |
| Provider Name | Clifford A Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841625803 PECOS PAC ID: 8628387693 Enrollment ID: I20230309001566 |
| Provider Name | Neika T. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699259408 PECOS PAC ID: 3779932298 Enrollment ID: I20231209000139 |
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