Organization
MINDFUL PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA BARNES PSY.D. (CLINICAL PSYCHOLOGIST)
(678) 775-8399
Entity
Organization
Contact information
Practice address
288 S MAIN ST STE 300, ALPHARETTA, GA 30009-1944
(678) 775-8399
(770) 234-5889
Mailing address
288 S MAIN ST STE 300, ALPHARETTA, GA 30009-1944
(678) 775-8399
(770) 234-5889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126255B
—
GA
Enumeration date
10/11/2012
Last updated
10/11/2012
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