| Mindset Wellness Center, Llc | |
|
135 Bradford Sq Ste B Fayetteville GA 30215-1902 | |
| (470) 646-3738 | |
| (888) 910-6463 |
| Full Name | Mindset Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 135 Bradford Sq Ste B, Fayetteville, Georgia |
| Authorized Official Name and Position | Omolola Otubaga (OWNER) |
| Authorized Official Contact | 4703396463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Wellness Center, Llc 5465 Highway 42 Unit 246 Ellenwood GA 30294-4042 Ph: (470) 646-3738 | Mindset Wellness Center, Llc 135 Bradford Sq Ste B Fayetteville GA 30215-1902 Ph: (470) 646-3738 |
| NPI Number | 1932825783 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932825783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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