Organization
MINDRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY-ANNE JOHNSON (OWNER/THERAPIST)
(470) 593-0720
Entity
Organization
Contact information
Practice address
1220 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-8999
(470) 593-0720
Mailing address
1415 HIGHWAY 85 N STE 310-446, FAYETTEVILLE, GA 30214-7738
(470) 593-0720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
02/23/2026
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