institution
Ellen M Benson Llc
Adult Mental Health Clinic/Center in Atlanta, Georgia
NPI 1588925853

Ellen M Benson Llc is an Adult Mental Health Clinic/Center based in Marietta, GA and is specialized in Adult Mental Health. Ellen M Benson Llc practices in Atlanta, GA. The NPI Number for Ellen M Benson Llc is 1588925853 and holds a License No. RN110079 (Georgia).

The current practice location address for Ellen M Benson Llc is 345 Boulevard Ne, Atlanta, GA and can be reached out via phone at 404-604-3700 and via fax at 404-604-3705.

Location: 345 Boulevard Ne, Atlanta, GA, 30066-4804
institution
Provider Profile Details
NPI Number
1588925853
Provider Name
Ellen M Benson Llc
Credential
Provider Entity Type
Organization
Address
345 Boulevard Ne, Atlanta, GA, 30066-4804
Phone Number
404-604-3700
Fax Number
404-604-3705
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
202G704527 01 GA MEDICARE PTAN
455012559A 05 GA
institution
Provider Business Practice Location Address Details
Address
345 Boulevard Ne
City
State
Zip
30312-1216
Phone Number
404-604-3700
Fax Number
404-604-3705
person
Provider Business Mailing Address Details
Address
345 Boulevard Ne
City
State
Zip
30312-1216
Phone Number
404-604-3700
Fax Number
404-604-3705
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
RN110079 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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