| Mademind Wellness & Performance | |
|
3402 Chesterfield Ct Snellville GA 30039-4609 | |
| (206) 734-0964 | |
| Not Available |
| Full Name | Mademind Wellness & Performance |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3402 Chesterfield Ct, Snellville, Georgia |
| Authorized Official Name and Position | Michael Wiley (OWNER) |
| Authorized Official Contact | 2067340964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mademind Wellness & Performance 7234 W North Ave Ste 208 Chicago IL 60707-4202 Ph: (206) 734-0964 | Mademind Wellness & Performance 3402 Chesterfield Ct Snellville GA 30039-4609 Ph: (206) 734-0964 |
| NPI Number | 1700680394 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700680394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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