Organization · Type 2 NPI

Mindful Sport and Performance

Mental Health Counselor · Alpharetta, GA

NPI number 1508470428 Active

Practice location

401 S Main St
Alpharetta, GA 30009-1974

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Corporate Health Clinic/Center 261QC1800XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Preferred Provider Organization 305R00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508470428

Mindful Sport and Performance's National Provider Identifier is 1508470428, issued on Sep 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Alpharetta, GA. The record was last updated on Sep 8, 2020.