Clayton Mhddad in Jonesboro - Mental Health (including Community Mental Health Center)
Clayton Mhddad - NPI 1639358906
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 1639358906. The last update date is 2008-03-05.
Clayton Mhddad's current location address is 112 Broad St, Jonesboro, Georgia. You can contact this provider via phone number 7704782280. The mailing address for Clayton Mhddad is 112 Broad St, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clayton Mhddad |
|---|---|
| Address | 112 Broad St, Jonesboro, Georgia |
| Phone Number | 7704782280 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Benefield Jade |
| Telephone Number | 7704782280 |
NPI Number Detail
| NPI Number | 1639358906 |
|---|---|
| Provider Enumeration Date | 2007-11-02 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 112 Broad St |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302363563 |
| Phone Number | 7704782280 |
| Fax Number |
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 |
|---|---|---|---|
| 00606922AA | 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) 1639358906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Clayton Mhddad is geographically located?
The Clayton Mhddad is physically situated at the following location: 112 Broad St, Jonesboro, GA, 302363563.
What is Clayton Mhddad's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clayton Mhddad is Mental Health (including Community Mental Health Center), and the taxonomy code that categorizes this field of expertise is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639358906 to Clayton Mhddad?
The Clayton Mhddad received its 1639358906 assignment from the Centers for Medicare & Medicaid Services on 2007-11-02.
When was the information regarding Clayton Mhddad, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clayton Mhddad, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-05.