The Mentalists Group Llc

LBN: The Mentalists Group Llc
The Mentalists Group Llc is an health care organization with primary practice located at 124 S Main St Ste 2D , Jonesboro GA 30236-3502. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. The Mentalists Group Llc can be contacted via phone (404) 664-5970, or through Phillips, Darnell via phone (615) 414-5050.

Contact Information

Primary practice address
124 S Main St Ste 2D Jonesboro GA 30236-3502
Phone: (404) 664-5970
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Darnell Licensed Professional Counselor (LPC)
Phone: (615) 414-5050

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 009363 Georgia

Profile Details

NPI number 1730616798
LBN Legal business name The Mentalists Group Llc
DBA Doing business as
Authorized official Phillips, Darnell Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2017
Last updated May 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730616798 NPPES
Georgia MEDICAID 003188124A

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