Organization
KINDER MINDS BEHAVIORAL HEALTH LLC
Active
Parent organization
SHITAL P GAITONDE PHD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHITAL P GAITONDE PHD
Authorized official
SHITAL P GAITONDE PHD (OWNER)
(918) 691-1237
Entity
Organization
Contact information
Practice address
1003 BOMBAY LN, ROSWELL, GA 30076-5820
(918) 691-1237
Mailing address
1003 BOMBAY LN, ROSWELL, GA 30076-5820
(918) 691-1237
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136924A
—
GA
Enumeration date
12/01/2017
Last updated
12/01/2017
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