MIMI MCDONALD LLC NPI 1104437987

NPI Information

NPI: 1104437987
Provider Name: MIMI MCDONALD LLC

Doing Business As: HAVEN COUNSELING CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
405 CREEKSTONE RDG
WOODSTOCK, GA
ZIP 30188
Phone: (470) 798-0202
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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	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0801X	Clinic/Center	Mental 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: 5/5/2024

NPI Synchronization or Removal

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