Organization
MCGINNIS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANETTE YVONNE MCGINNIS (CHIEF EXECUTIVE DIRECTOR)
(404) 219-2523
Entity
Organization
Contact information
Practice address
145 CHESS CHASE, FAYETTEVILLE, GA 30215-4909
(404) 219-2523
(404) 745-8228
Mailing address
145 CHESS CHASE, FAYETTEVILLE, GA 30215-4909
(404) 219-2523
(404) 745-8228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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