Organization
MINDFUL CARE COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AISHA DENISE BAKER PHD (PSYCHOLOGIST)
(404) 806-9932
Entity
Organization
Contact information
Practice address
209B SWANTON WAY STE 204, DECATUR, GA 30030-3271
(404) 806-9932
Mailing address
1361 COZY COVE LN, LAWRENCEVILLE, GA 30045-2274
(601) 400-4086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004164
GA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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