| South Mental Health | |
|
1636 Connally Dr East Point GA 30344-2558 | |
| (404) 762-4042 | |
| (404) 762-3626 |
| Full Name | South Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1636 Connally Dr, East Point, Georgia |
| Authorized Official Name and Position | Barbara J Lattimore (DIRECTOR) |
| Authorized Official Contact | 4047300249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Mental Health 115 Martin Luther King Jr Dr Sw Ste 277 Atlanta GA 30303-3553 Ph: (404) 730-0230 | South Mental Health 1636 Connally Dr East Point GA 30344-2558 Ph: (404) 762-4042 |
| NPI Number | 1780823062 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780823062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003394 (Georgia) | Primary |
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