Clayton Mhddad in Jonesboro - Mental Health (including Community Mental Health Center)
Clayton Mhddad - NPI 1629266473
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 1629266473. 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 | 1629266473 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| 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 |
|---|---|---|---|
| 00604205L | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Clayton Mhddad by the Centers for Medicare & Medicaid Services?
The Clayton Mhddad has been issued the NPI (National Provider Identifier) 1629266473 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clayton Mhddad's facilities are situated?
The facilities of Clayton Mhddad are physically located at the following address: 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.
On what date did the Centers for Medicare & Medicaid Services assign the 1629266473 to Clayton Mhddad?
The Centers for Medicare & Medicaid Services assigned the 1629266473 to Clayton Mhddad on 2007-10-05.
As of what date was the information regarding Clayton Mhddad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clayton Mhddad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-15.