MIMI MCDONALD LLC NPI 1104437987

NPI Information

  • NPI: 1104437987
  • Provider Name: MIMI MCDONALD LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: HAVEN COUNSELING CENTER
  • Address: 405 CREEKSTONE RDG
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (470) 798-0202

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NPI Details

MIMI MCDONALD LLC is a mental health (including community mental health center) clinic center in Woodstock, GA. MIMI MCDONALD LLC NPI is 1104437987. The provider is registered as an organization entity type.
The provider Is Doing Business As Haven Counseling Center.

The provider's business location address is:

405 CREEKSTONE RDG
WOODSTOCK, GA
ZIP 30188-746
Phone: (470) 798-0202
Fax: (470) 410-7602

The provider's authorized official is Janet Mimi Mcdonald .
The authorized official title is Owner and has the following contact phone number (470) 798-0202.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 6/9/2022.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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