Clayton Mhddad in Jonesboro - Mental Health (including Community Mental Health Center)
Clayton Mhddad - NPI 1497943104
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 1497943104. The last update date is 2011-11-15.
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 | 1497943104 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2011-11-15 |
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 |
|---|---|---|---|
| 00606922E | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been assigned the NPI (National Provider Identifier) 1497943104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Clayton Mhddad located?
The Clayton Mhddad is located at 157 Smith St, Jonesboro, GA 302363546.
What is Clayton Mhddad's area of expertise and its corresponding taxonomy classification?
The Clayton Mhddad's field of specialization is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their areas of practice.
When did Clayton Mhddad receive its 1497943104 assignment?
The Clayton Mhddad was assigned its 1497943104 on 2007-10-09, which is the date when this unique identifier was issued to the organization.
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 2011-11-15.