Organization
GEORGIA HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MIMS LPC (CLINICAL DIRECTOR)
(404) 824-7880
Entity
Organization
Contact information
Practice address
127 PEACHTREE ST NE, SUITE 720, ATLANTA, GA 30303-1810
(404) 490-4128
Mailing address
127 PEACHTREE ST NE, SUITE 720, ATLANTA, GA 30303-1810
(404) 490-4128
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33248618A
MEDICARE
GA
Enumeration date
02/23/2013
Last updated
02/23/2013
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