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Mark F Brechtel Phd Pc
Adult Mental Health Clinic/Center in Athens, Georgia
NPI 1629207204

Mark F Brechtel Phd Pc is an Adult Mental Health Clinic/Center based in Nicholson, GA and is specialized in Adult Mental Health. Mark F Brechtel Phd Pc practices in Athens, GA. The NPI Number for Mark F Brechtel Phd Pc is 1629207204 and holds a License No. PSY002805 (Georgia).

The current practice location address for Mark F Brechtel Phd Pc is 1 Huntington Rd, Athens, GA and can be reached out via phone at 706-369-0970.

Location: 1 Huntington Rd, Athens, GA, 30565-3097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629207204
Provider Name
Mark F Brechtel Phd Pc
Credential
Provider Entity Type
Organization
Address
1 Huntington Rd, Athens, GA, 30565-3097
Phone Number
706-369-0970
Fax Number
Provider Enumeration Date
07/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932215845 01 GA CLINICIAN NPI
68BBGLB 01 GA MEDICARE B
750409758A 05 GA
1162893 01 GA CAQH
institution
Provider Business Practice Location Address Details
Address
1 Huntington Rd
City
Athens
State
Georgia
Zip
30606-7204
Phone Number
706-369-0970
Fax Number
person
Provider Business Mailing Address Details
Address
1 Huntington Rd
City
Athens
State
Georgia
Zip
30606-7204
Phone Number
706-369-0970
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
PSY002805 (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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