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PLM METTA HEALING OASIS LLC NPI 1316385446


NPI Information

NPI: 1316385446
Provider Name: PLM METTA HEALING OASIS, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
920 DANNON VW SW STE 3203
ATLANTA, GA
ZIP 30331
Phone: (404) 590-8156
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PLM METTA HEALING OASIS, LLC is a clinical psychologist in Atlanta, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PLM METTA HEALING OASIS, LLC NPI is 1316385446. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

920 DANNON VW SW STE 3203
ATLANTA, GA
ZIP 30331-161
Phone: (404) 590-8156
Fax: (206) 350-3122

The provider's authorized official is Pamela L. Jenkins .
The authorized official title is Owner/doctor and has the following contact phone number (404) 590-8156.

The enumeration date for this NPI number is 6/11/2013 and was last updated on 2/24/2021.


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
1103TF0200XPsychologistForensicPSY 003657GEORGIANo
2103TA0400XPsychologistAddiction (Substance Use Disorder)PSY 003657GEORGIANo
3103TB0200XPsychologistCognitive & BehavioralPSY 003657GEORGIANo
4103TC0700XPsychologistClinicalPSY 003657GEORGIAYes

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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