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Mimi Mcdonald Llc
Adolescent and Children Mental Health Clinic/Center in Woodstock, Georgia
NPI 1104437987

Mimi Mcdonald Llc is an Adolescent and Children Mental Health Clinic/Center based in Woodstock, GA and is specialized in Adolescent and Children Mental Health. Mimi Mcdonald Llc practices in Woodstock, GA. The NPI Number for Mimi Mcdonald Llc is 1104437987 and holds a License No. (Georgia).

The current practice location address for Mimi Mcdonald Llc is 405 Creekstone Rdg, Woodstock, GA and can be reached out via phone at 470-798-0202 and via fax at 470-410-7602.

Location: 405 Creekstone Rdg, Woodstock, GA, 30188-3746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104437987
Provider Name
Mimi Mcdonald Llc
Credential
Provider Entity Type
Organization
Address
405 Creekstone Rdg, Woodstock, GA, 30188-3746
Phone Number
470-798-0202
Fax Number
470-410-7602
Provider Enumeration Date
08/13/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
405 Creekstone Rdg
City
Woodstock
State
Georgia
Zip
30188-3746
Phone Number
470-798-0202
Fax Number
470-410-7602
person
Provider Business Mailing Address Details
Address
405 Creekstone Rdg
City
Woodstock
State
Georgia
Zip
30188-3746
Phone Number
470-798-0202
Fax Number
470-410-7602
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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