Individual provider · Type 1 NPI

Charles Moyer Mendenhall Iii, PhD

Marriage & Family Therapist · Decatur, GA

NPI number 1902957525 Active

Practice location

1814 Clairmont Rd
Decatur, GA 30033-3405

Call (404) 636-1457 Map

Fax (404) 636-7449

Mailing address

320 Inman Dr
Decatur, GA 30030-3835

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT000948 (GA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1902957525

Charles Moyer Mendenhall Iii, PhD's National Provider Identifier is 1902957525, issued on Jan 12, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.