Organization
MAYO THERAPEUTIC INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAYO LPC, NCC (OWNER)
(770) 653-4531
Entity
Organization
Contact information
Practice address
309 PIRKLE FERRY RD STE C200, CUMMING, GA 30040-2550
(770) 653-4531
(770) 764-1265
Mailing address
309 PIRKLE FERRY RD STE C200, CUMMING, GA 30040-2550
(770) 653-4531
(770) 764-1265
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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