| The Mind Lab, Llc | |
|
555 N Point Ctr E Fl 4 Alpharetta GA 30022-8269 | |
| (770) 846-7326 | |
| Not Available |
| Full Name | The Mind Lab, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 N Point Ctr E Fl 4, Alpharetta, Georgia |
| Authorized Official Name and Position | Jessica Bush (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7708467326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Lab, Llc 4225 Fairway Villas Dr Johns Creek GA 30022-6238 Ph: (770) 846-7326 | The Mind Lab, Llc 555 N Point Ctr E Fl 4 Alpharetta GA 30022-8269 Ph: (770) 846-7326 |
| NPI Number | 1447954474 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447954474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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