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Mindful Sport And Performance
Preferred Provider Organization in Alpharetta, Georgia
NPI 1508470428

Mindful Sport And Performance is a Preferred Provider Organization based in Alpharetta, GA. Mindful Sport And Performance practices in Alpharetta, GA. The NPI Number for Mindful Sport And Performance is 1508470428 and holds a License No. (Georgia).

The current practice location address for Mindful Sport And Performance is 401 S Main St, Alpharetta, GA and can be reached out via phone at 404-783-8135.

Location: 401 S Main St, Alpharetta, GA, 30009-1974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508470428
Provider Name
Mindful Sport And Performance
Credential
Provider Entity Type
Organization
Address
401 S Main St, Alpharetta, GA, 30009-1974
Phone Number
404-783-8135
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
401 S Main St
City
Alpharetta
State
Georgia
Zip
30009-1974
Phone Number
404-783-8135
Fax Number
person
Provider Business Mailing Address Details
Address
401 S Main St
City
Alpharetta
State
Georgia
Zip
30009-1974
Phone Number
404-783-8135
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Corporate Health
Taxonomy
261QC1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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