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Organization
MINDFUL BEHAVIORAL SERVICES LLC
Active
Organization
MINDFUL BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKISHA MAJOR (CEO)
(443) 840-7944
Entity
Organization
Contact information
Practice address
8723 HOSPITAL DR, DOUGLASVILLE, GA 30134-5619
(443) 840-7944
Mailing address
8723 HOSPITAL DR, DOUGLASVILLE, GA 30134-5619
(443) 840-7944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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