# THE MENTALITY SPA

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

## Provider details

- **NPI number:** 1417672171
- **Authorized official:** MRS. MELANIE KENNER LMFT (OWNER)
- **Authorized official phone:** (404) 994-9974

## Contact information

- **Practice address:** 8319 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6936
- **Practice address phone:** (404) 994-9974
- **Practice address fax:** (678) 306-8663
- **Mailing address:** 2389 NAVAJO TRL SW, ATLANTA, GA 30331-7059
- **Mailing address phone:** (404) 994-9974
- **Mailing address fax:** (678) 306-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2022
- **Last updated:** 10/05/2022