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Organization
THE MENTALITY SPA
Active
Organization
THE MENTALITY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE KENNER LMFT (OWNER)
(404) 994-9974
Entity
Organization
Contact information
Practice address
8319 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6936
(404) 994-9974
(678) 306-8663
Mailing address
2389 NAVAJO TRL SW, ATLANTA, GA 30331-7059
(404) 994-9974
(678) 306-8663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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