Organization
PLM METTA HEALING OASIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L. JENKINS PHD (OWNER/DOCTOR)
(404) 590-8156
Entity
Organization
Contact information
Practice address
920 DANNON VW SW STE 3203, ATLANTA, GA 30331-2161
(404) 590-8156
(206) 350-3122
Mailing address
920 DANNON VW SW STE 3203, ATLANTA, GA 30331-2161
(404) 590-8156
(206) 350-3122
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY 003657
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY 003657
GA
103TC0700X
Clinical Psychologist
Primary
PSY 003657
GA
103TF0200X
Forensic Psychologist
PSY 003657
GA
Other
Enumeration date
06/11/2013
Last updated
02/24/2021
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