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Individual

DR. MELLONIE HAYES MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
333 SANDY SPRINGS CIR, SUITE 103, SANDY SPRINGS, GA 30328-3897
(404) 513-9665
(770) 483-6617
Mailing address
333 SANDY SPRINGS CIR, SUITE 103, SANDY SPRINGS, GA 30328-3897
(404) 513-9665
(770) 483-6617

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001040
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MFT001040
LICENSE
GA
Enumeration date
11/24/2006
Last updated
01/06/2015
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