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Organization

CLEARMINDS BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OKAH JUSTIN ANYOKWU MD (CEO)
(770) 694-6349
Entity
Organization

Contact information

Practice address
3000 EL CAMINO REAL, BLDG 4, STE 200, PALO ALTO, CA 94306
(650) 407-1830
Mailing address
880 MARIETTA HWY STE 630366, ROSWELL, GA 30075-6755

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician
Primary
363A00000X
Physician Assistant
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/15/2023
Last updated
12/19/2024
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