Organization · Type 2 NPI

Mimi McDonald LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Woodstock, GA

NPI number 1104437987 Active

Practice location

405 Creekstone Rdg
Woodstock, GA 30188-3746

Fax (470) 410-7602

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Woodstock

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NPI record

NPI: 1104437987
Entity type: Organization (Type 2)
Issued: Aug 13, 2020
Last updated: Jun 9, 2022
Status: Active

Other names

<unavail>
Haven Counseling Center · doing business as
Haven Counseling Center · doing business as

Authorized official

Janet Mimi McDonald, LPC
Owner
(470) 798-0202

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104437987

Mimi McDonald LLC's National Provider Identifier is 1104437987, issued on Aug 13, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Woodstock, GA. The record was last updated on Jun 9, 2022.