# MADE FOR KIDS, INC.

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

## Provider details

- **NPI number:** 1205078532
- **Authorized official:** KRISTEN MICHENER PH.D. (CLINICAL PSYCHOLOGIST/CO-OWNER)
- **Authorized official phone:** (706) 995-3160

## Contact information

- **Practice address:** 182 BEN BURTON CIR, SUITE 100, BOGART, GA 30622-6847
- **Practice address phone:** (706) 995-3160
- **Practice address fax:** (706) 243-4611
- **Mailing address:** 182 BEN BURTON CIR, SUITE 100, BOGART, GA 30622-6847
- **Mailing address phone:** (706) 995-3160
- **Mailing address fax:** (706) 243-4611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | PSY002990 | GA | — |
| 103TC0700X | Clinical Psychologist | PSY003136 | GA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY002990 | GA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003136 | GA | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009