Organization
THE MINDFUL MATCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJELICA FRANCISCO LCSW (OWNER)
(404) 913-3989
Entity
Organization
Contact information
Practice address
528B ANGIER AVE NE, ATLANTA, GA 30308-2902
(404) 913-3989
Mailing address
528B ANGIER AVE NE, ATLANTA, GA 30308-2902
(404) 913-3989
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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