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Jada Tidwell, Inc
Adolescent and Children Mental Health Clinic/Center in Decatur, Georgia
NPI 1316270085

Jada Tidwell, Inc is an Adolescent and Children Mental Health Clinic/Center based in Decatur, GA and is specialized in Adolescent and Children Mental Health. Jada Tidwell, Inc practices in Decatur, GA. The NPI Number for Jada Tidwell, Inc is 1316270085 and holds a License No. (Georgia).

The current practice location address for Jada Tidwell, Inc is 215 Church St, Decatur, GA and can be reached out via phone at 404-797-0889 and via fax at 404-378-2039.

Location: 215 Church St, Decatur, GA, 30030-4617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316270085
Provider Name
Jada Tidwell, Inc
Credential
Provider Entity Type
Organization
Address
215 Church St, Decatur, GA, 30030-4617
Phone Number
404-797-0889
Fax Number
404-378-2039
Provider Enumeration Date
09/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 Church St
City
Decatur
State
Georgia
Zip
30030-4617
Phone Number
404-797-0889
Fax Number
404-378-2039
person
Provider Business Mailing Address Details
Address
215 Church St
City
Decatur
State
Georgia
Zip
30030-4617
Phone Number
404-797-0889
Fax Number
404-378-2039
person
Provider's Taxonomy Details 1
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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