Organization · Type 2 NPI
Mental Space LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Martinez, GA
NPI number
1295372225
Active
Practice location
4408 Columbia Rd Ste 104
Martinez, GA 30907-4561
Mailing address
PO Box 44163
Goodfellow Afb, TX 76908-0163
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...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Martinez
About NPI 1295372225
Mental Space LLC's National Provider Identifier is 1295372225, issued on Dec 10, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Martinez, GA. The record was last updated on Nov 18, 2021.