Organization
NATIONAL MENTOR HEALTHCARE, LLC
Active
Other names
Georgia Mentor
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
18 EXECUTIVE PARK DR NE, SUITE 1823, ATLANTA, GA 30329-2206
(404) 728-1567
(404) 982-9877
Mailing address
18 EXECUTIVE PARK DR NE, SUITE 1823, ATLANTA, GA 30329-2206
(404) 728-1567
(404) 982-9877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000498847A
—
GA
05
—
000498847AA
—
GA
05
—
000498847AB
—
GA
05
—
000498847I
—
GA
05
—
000498847K
—
GA
05
—
000498847N
—
GA
05
—
000498847Q
—
GA
05
—
000498847U
—
GA
05
—
000498847X
—
GA
05
—
000498847Y
—
GA
05
—
000498847Z
—
GA
Enumeration date
11/01/2006
Last updated
03/12/2023
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