| The Mentalists Group Llc | |
|
124 S Main St Ste 2d Jonesboro GA 30236-3502 | |
| (404) 664-5970 | |
| Not Available |
| Full Name | The Mentalists Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 124 S Main St Ste 2d, Jonesboro, Georgia |
| Authorized Official Name and Position | Darnell Phillips (CLINICAL DIRECTOR / OWNER) |
| Authorized Official Contact | 6154145050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mentalists Group Llc 124 S Main St Ste 2d Jonesboro GA 30236-3502 Ph: () - | The Mentalists Group Llc 124 S Main St Ste 2d Jonesboro GA 30236-3502 Ph: (404) 664-5970 |
| NPI Number | 1730616798 |
|---|---|
| Provider Enumeration Date | 05/20/2017 |
| Last Update Date | 05/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730616798 | NPI | - | NPPES |
| 003188124A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 009363 (Georgia) | Primary |
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