| Madalyn Leatherman Lmft Llc | |
|
3150 Perimeter Pkwy Ste 110 Augusta GA 30909-5797 | |
| (943) 259-5875 | |
| Not Available |
| Full Name | Madalyn Leatherman Lmft Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3150 Perimeter Pkwy Ste 110, Augusta, Georgia |
| Authorized Official Name and Position | Madalyn Leatherman (OWNER) |
| Authorized Official Contact | 9432595875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madalyn Leatherman Lmft Llc 8735 Dunwoody Pl Ste R Atlanta GA 30350-2995 Ph: (943) 259-5875 | Madalyn Leatherman Lmft Llc 3150 Perimeter Pkwy Ste 110 Augusta GA 30909-5797 Ph: (943) 259-5875 |
| NPI Number | 1326848425 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326848425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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