Mindful Care Counseling And Consulting LLC
Psychologist in Decatur, GA. Organization (NPI-2).
NPI number1982182408
StatusActive
Last updated in NPPESAug 6, 2018
Details
- NPI
- 1982182408
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindful Care Counseling And Consulting LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2018
- Last updated
- Aug 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY004164 | GA | Yes |
Practice location
209b Swanton Way Ste 204Decatur, GA 30030-3271
Phone 404-806-9932
Mailing address
1361 Cozy Cove LnLawrenceville, GA 30045-2274
Phone 601-400-4086
Authorized official
Aisha Denise Baker
Psychologist
4048069932
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