Clayton Mhddad in Jonesboro - Mental Health (including Community Mental Health Center)
Clayton Mhddad - NPI 1306034012
Clayton Mhddad is a Mental Health (including Community Mental Health Center) in Jonesboro, Georgia. Clayton Mhddad practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Clayton Mhddad is 1306034012. The last update date is 2011-11-08.
Clayton Mhddad's current location address is 157 Smith St, Jonesboro, Georgia. You can contact this provider via phone number 7704782280 and fax number 7704779772. The mailing address for Clayton Mhddad is 157 Smith St, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 157 Smith St, Jonesboro, Georgia |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Cole Terry |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1306034012 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 157 Smith St |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363546 |
| Phone Number | 7704782280 |
| Fax Number | 7704779772 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00604205Q | GA | -- |
Post Comment/ Review Below
What is the Clayton Mhddad's 1306034012?
The Clayton Mhddad's NPI (National Provider Identifier) Number is 1306034012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Clayton Mhddad?
The Clayton Mhddad is situated at 157 Smith St, in the city of Jonesboro, state of GA, with the zip code 302363546.
What is Clayton Mhddad's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clayton Mhddad is Mental Health (including Community Mental Health Center), and the corresponding taxonomy classification code for this specialized field is 261Qm0801X.
On what date did the Clayton Mhddad receive its 1306034012 assignment from the Centers for Medicare & Medicaid Services?
The Clayton Mhddad was assigned its 1306034012 by the Centers for Medicare & Medicaid Services on 2007-10-09.
When was the information regarding Clayton Mhddad most recently updated?
The details pertaining to the Clayton Mhddad, including its address, specialty, and other relevant information, were last refreshed on 2011-11-08.
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