Organization
MARIN MATHEUS AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANELA MATHEUS M.ED., LPC, CPCS,RPT (MEMBER VICEPRESIDENT)
(404) 434-1267
Entity
Organization
Contact information
Practice address
2050 BEAUMONT LN, DUNWOODY, GA 30338-4500
(404) 434-1267
Mailing address
2050 BEAUMONT LN, DUNWOODY, GA 30338-4500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003200881A
—
GA
Enumeration date
11/26/2018
Last updated
11/26/2018
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