Organization
MIMI MCDONALD LLC
Active
Other names
Haven Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MIMI MCDONALD LPC (OWNER)
(470) 798-0202
Entity
Organization
Contact information
Practice address
405 CREEKSTONE RDG, WOODSTOCK, GA 30188-3746
(470) 798-0202
(470) 410-7602
Mailing address
405 CREEKSTONE RDG, WOODSTOCK, GA 30188-3746
(470) 798-0202
(470) 410-7602
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/13/2020
Last updated
06/09/2022
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