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MARDELLA'S WAY INC. NPI 1104306083


NPI Information

NPI: 1104306083
Provider Name: MARDELLA'S WAY, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
445 WINDY HILL RD SE
MARIETTA, GA
ZIP 30060
Phone: (678) 608-7558
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MARDELLA'S WAY, INC. is a mental health (including community mental health center) clinic center in Marietta, GA. MARDELLA'S WAY, INC. NPI is 1104306083. The provider is registered as an organization entity type.

The provider's business location address is:

445 WINDY HILL RD SE
MARIETTA, GA
ZIP 30060-348
Phone: (678) 608-7558

The provider's authorized official is April Barran .
The authorized official title is Director/ Counselor and has the following contact phone number (678) 608-7558.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 8/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)LPC009795GEORGIAYes

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

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