| Mbh Healthcare | |
|
1635 Old 41 Hwy Nw Ste 141 Kennesaw GA 30152-4480 | |
| (678) 400-5051 | |
| Not Available |
| Full Name | Mbh Healthcare |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1635 Old 41 Hwy Nw Ste 141, Kennesaw, Georgia |
| Authorized Official Name and Position | Latoya Nicole Thomas (PRACTICE OWNER) |
| Authorized Official Contact | 4705312580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbh Healthcare 3455 Peachtree Rd Ne Ste 500 Atlanta GA 30326-3236 Ph: (470) 531-2580 | Mbh Healthcare 1635 Old 41 Hwy Nw Ste 141 Kennesaw GA 30152-4480 Ph: (678) 400-5051 |
| NPI Number | 1851918999 |
|---|---|
| Provider Enumeration Date | 07/05/2020 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851918999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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