Clayton Mhddad in Jonesboro - Mental Health (including Community Mental Health Center)
Clayton Mhddad - NPI 1922296813
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 1922296813. 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 | 1922296813 |
|---|---|
| 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 |
|---|---|---|---|
| 00395458A | GA | -- | |
| 00604205G | 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) 1922296813 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 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 the area of specialization for Clayton Mhddad, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clayton Mhddad is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this area of expertise is 261Qm0801X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922296813 to Clayton Mhddad?
The Clayton Mhddad received its 1922296813 assignment from the Centers for Medicare & Medicaid Services on 2007-10-05.
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.
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