| Mindrise, Llc | |
|
1220 Pennsylvania Ave Mcdonough GA 30253-8999 | |
| (470) 593-0720 | |
| Not Available |
| Full Name | Mindrise, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1220 Pennsylvania Ave, Mcdonough, Georgia |
| Authorized Official Name and Position | Shelly-anne Johnson (OWNER/THERAPIST) |
| Authorized Official Contact | 4705930720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindrise, Llc 1415 Highway 85 N Ste 310-446 Fayetteville GA 30214-7738 Ph: (470) 593-0720 | Mindrise, Llc 1220 Pennsylvania Ave Mcdonough GA 30253-8999 Ph: (470) 593-0720 |
| NPI Number | 1255091815 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255091815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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