| Menda Behavioral Health Services Pc | |
|
1303 Pendleton St Se Atlanta GA 30316-3801 | |
| (323) 776-3632 | |
| Not Available |
| Full Name | Menda Behavioral Health Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1303 Pendleton St Se, Atlanta, Georgia |
| Authorized Official Name and Position | Leslie Aria (PRESIDENT) |
| Authorized Official Contact | 9166071297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Menda Behavioral Health Services Pc 1303 Pendleton St Se Atlanta GA 30316-3801 Ph: () - | Menda Behavioral Health Services Pc 1303 Pendleton St Se Atlanta GA 30316-3801 Ph: (323) 776-3632 |
| NPI Number | 1326813387 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 8022456854 |
|---|---|
| Medicare Enrollment ID | O20240329000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326813387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Dominique Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346320447 PECOS PAC ID: 0941230502 Enrollment ID: I20050815000346 |
| Provider Name | Andrea M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164753034 PECOS PAC ID: 7012041213 Enrollment ID: I20100810000350 |
| Provider Name | Barbara Vanhouten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437697349 PECOS PAC ID: 7214302009 Enrollment ID: I20230907003614 |
| Provider Name | Angela Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821577107 PECOS PAC ID: 2668850579 Enrollment ID: I20240329001747 |
| Provider Name | Kimberly Bridi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730746009 PECOS PAC ID: 3678914900 Enrollment ID: I20240516003585 |
Intentional Hearts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327 Phone: 770-623-3331 | |
Nancy Gup And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Payton Rd Ne, Atlanta, GA 30345 Phone: 404-634-0014 Fax: 404-728-0043 | |
Atlanta Internal Medicine And Psychiatric Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3915 Cascade Rd Sw Ste 360, Atlanta, GA 30331 Phone: 678-973-2370 Fax: 470-819-4995 | |
Advanced Neuropsychiatric Health Professionals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Peachford Rd Ste 1, Atlanta, GA 30338 Phone: 404-918-8118 | |
Flourishing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2751 Buford Hwy Ne, 700, Atlanta, GA 30324 Phone: 678-322-7935 Fax: 678-922-2149 | |
Jenesys Home Care Atlanta Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3464 Roxboro Rd Ne, Unit 1110, Atlanta, GA 30326 Phone: 757-419-6153 Fax: 757-420-0599 | |
Chris 180, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Martin Luther King Dr Sw, Atlanta, GA 30331 Phone: 404-486-9034 Fax: 404-835-9350 |