# SOLID GROUND BEHAVIORAL HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033921390
- **Authorized official:** MARY KELLER PMHNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (706) 963-0654

## Contact information

- **Practice address:** 24 CHECHERO ST STE 2, CLAYTON, GA 30525-6181
- **Practice address phone:** (706) 963-0654
- **Mailing address:** 12244 AUGUSTA RD UNIT 108, LAVONIA, GA 30553-1210
- **Mailing address phone:** (706) 983-9411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2025
- **Last updated:** 01/23/2025