MT. BETHEL SHEPHERD CENTER INC. NPI 1003057746

NPI Information

NPI: 1003057746
Provider Name: MT. BETHEL SHEPHERD CENTER INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4608 LOWER ROSWELL RD
MARIETTA, GA
ZIP 30068
Phone: (678) 571-5119
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MT. BETHEL SHEPHERD CENTER INC. is a professional counselor in Marietta, GA. MT. BETHEL SHEPHERD CENTER INC. NPI is 1003057746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4608 LOWER ROSWELL RD
MARIETTA, GA
ZIP 30068-237
Phone: (678) 571-5119

The provider's authorized official is Donnie Mayfield .
The authorized official title is President and has the following contact phone number (678) 571-5119.

The enumeration date for this NPI number is 3/10/2009 and was last updated on 3/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2583	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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