| Mixed Workd Therapy Ga LLC | |
|
1564 Airline Rd Mcdonough GA 30252-2684 | |
| (404) 819-6889 | |
| Not Available |
| Full Name | Mixed Workd Therapy Ga LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1564 Airline Rd, Mcdonough, Georgia |
| Authorized Official Name and Position | Christen Mcdonald (FOUNDING CLINICAL DIRECTOR) |
| Authorized Official Contact | 4048196889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mixed Workd Therapy Ga LLC 1564 Airline Rd Mcdonough GA 30252-2684 Ph: (404) 819-6889 | Mixed Workd Therapy Ga LLC 1564 Airline Rd Mcdonough GA 30252-2684 Ph: (404) 819-6889 |
| NPI Number | 1114838513 |
|---|---|
| Provider Enumeration Date | 09/15/2026 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114838513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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