Manifesting Greatness Therapy LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Atlanta, GA. Organization (NPI-2).
NPI number1144975111
StatusActive
Last updated in NPPESFeb 17, 2022
Details
- NPI
- 1144975111
- Entity type
- Organization (NPI-2)
- Legal business name
- Manifesting Greatness Therapy LLC
- Organization subpart
- No
- Enumeration date
- Feb 17, 2022
- Certification date
- Feb 17, 2022
- Last updated
- Feb 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4000 Dunwoody Park Apt 5121Atlanta, GA 30338-7966
Phone 470-890-2900
Mailing address
4000 Dunwoody Park Apt 5121Atlanta, GA 30338-7966
Phone 470-890-2900
Authorized official
Latesha Shadawn Mitchell
Owner/Therapist
9122471178
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