Organization
MENDED MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-ANNE ADEWAKUN LPC (OWNER)
(404) 790-6527
Entity
Organization
Contact information
Practice address
4027 CHARIOT CIR SE, SMYRNA, GA 30080-5774
(404) 790-6527
Mailing address
4027 CHARIOT CIR SE, SMYRNA, GA 30080-5774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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