| Young Minds Psychiatry, Lc | |
|
750 Hammond Drive Building 14 Suite 100 Atlanta GA 30328 | |
| (678) 615-7032 | |
| Not Available |
| Full Name | Young Minds Psychiatry, Lc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 750 Hammond Drive, Atlanta, Georgia |
| Authorized Official Name and Position | Anas Alkhatib (OWNER) |
| Authorized Official Contact | 6786157032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Minds Psychiatry, Lc 750 Hammond Drive Blg 14 Suite 100 Atlanta GA 30328-6520 Ph: (678) 615-7032 | Young Minds Psychiatry, Lc 750 Hammond Drive Building 14 Suite 100 Atlanta GA 30328 Ph: (678) 615-7032 |
| NPI Number | 1629330154 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 3577715754 |
|---|---|
| Medicare Enrollment ID | O20121217000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629330154 | NPI | - | NPPES |
| 003119089C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 65560 (Georgia) | Primary |
| Provider Name | Mhd A Alkhatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528115326 PECOS PAC ID: 6204927957 Enrollment ID: I20110801000544 |
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