person
Mr. Darrell L Mcmullen SR., CASEMANAGER
Mental Health Clinic/Center (Including Community Mental Health Center) in Lagrange, Georgia
NPI 1851896161

Darrell L Mcmullen SR. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lagrange, GA and is specialized in Mental Health (Including Community Mental Health Center). Darrell L Mcmullen SR. practices in Lagrange, GA and has the professional credentials of CASEMANAGER. The NPI Number for Darrell L Mcmullen SR. is 1851896161 and holds a License No. 71999 (Georgia).

The current practice location address for Darrell L Mcmullen SR. is 122 Gordon Commercial Dr Ste C, Lagrange, GA and can be reached out via phone at 706-845-4045 and via fax at 706-845-4367.

Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA, 30240-5754
person
Provider Profile Details
NPI Number
1851896161
Provider Name
Darrell L Mcmullen SR.
Credential
CASEMANAGER
Provider Entity Type
Individual
Gender
Male
Address
122 Gordon Commercial Dr Ste C, Lagrange, GA, 30240-5754
Phone Number
706-845-4045
Fax Number
706-845-4367
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 Gordon Commercial Dr Ste C
City
State
Zip
30240-5754
Phone Number
706-845-4045
Fax Number
706-845-4367
person
Provider Business Mailing Address Details
Address
122 Gordon Commercial Dr Ste C
City
State
Zip
30240-5754
Phone Number
706-845-4045
Fax Number
706-845-4367
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
71999 (Georgia)
Definition
Definition to come...
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