MENTAL SPACE LLC


Address: 4210 Columbia Rd Unit D, Martinez, GA 30907-0401
Phone: 7066191390

MENTAL SPACE LLC (NPI# 1295372225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295372225
Entity Type Organization
Organization Name MENTAL SPACE LLC
Practice Address 4210 Columbia Rd Unit D
Martinez
GA 30907-0401
Mailing Address Po Box 1521
Harlem
GA 30814-1521
Practice Telephone 7066191390
Mailing Telephone 7066191390
Mailing Fax Number 5053704730
Enumeration Date 2019-12-10
Last Update Date 2019-12-10
Authorized Official Name JESSICA STRINGFIELD (OWNER)
Authorized Official Telephone 7066191390
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 4210 COLUMBIA RD UNIT D
City MARTINEZ
State GA
Zip Code 30907-0401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275158156 Mary Cameron Elizabeth Robert Dentist 3226 Washington Rd, Augusta, GA 30907 2020-06-16
1841760451 Debra E Gibbs Dental Hygienist 523 Crystal Creek West, Martinez, GA 30907 2018-11-27
1083183651 Leslie Yvonne Watkins Massage Therapist 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 2018-11-13
1124594718 Kimberly A Delaigle Nurse Practitioner 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 2018-10-22
1366960825 Catherine Lane Hopkins Speech-Language Pathologist 435 Cambridge Circle, Martinez, GA 30907 2017-09-05
1518485143 Challenging Perspectives Clinic/Center 3710 Executive Center Dr Suite B, Martinez, GA 30907 2017-09-04
1386168490 Carlene Elizabeth Lemcke Speech-Language Pathologist 3580 Riverwatch Parkway, Martinez, GA 30907 2017-07-31
1619499357 Orchid Archer Registered Nurse 702 Riverbend Drive, Martinez, GA 30907 2017-07-14
1437679339 Mediator Senior Care, LLC In Home Supportive Care 4143 Columbia Rd., Suite B, Martinez, GA 30907 2017-06-21
1518407907 Augusta Smilecare PC Dentist 4200 Columbia Road, Martinez, GA 30907 2017-03-03
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124198700 Contra Costa County Clinic/Center 202 Glacier Dr, Martinez, CA 94553-4826 2006-11-09
1639572522 Andrea Nicole Griffin Clinic/Center 1210 Alhambra Ave, Martinez, CA 94553-2300 2014-10-06
1184761017 Ywca of Contra Costa & Sacramento Clinic/Center 1320 Arnold Dr, Suite 170, Martinez, CA 94553-6537 2007-01-31

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NPI Name Taxonomy Address Enumeration
1811596646 Bhg Lxvi, LLC Clinic/Center 1021 Alabama Avenue, Bremen, GA 30110 2020-10-22
1801495213 New Orleans Caring Hands LLC Clinic/Center 4696 Balley Shannon Dr Se, Mableton, GA 30126-1763 2020-10-19
1205434594 Sunflower Counseling Center Clinic/Center 950 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281-7343 2020-10-09
1124632013 Dunwoody Mental Health Center Clinic/Center 4594 Barclay Dr, Atlanta, GA 30338-5883 2020-09-08
1093327488 Elevate Behavioral Health Clinic/Center 304 Cumberland Way Se, Smyrna, GA 30080-7766 2020-08-18
1346851292 Solacium Holding LLC Clinic/Center 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 2020-08-13
1962012153 Janel Falvey LLC Clinic/Center 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 2020-08-03
1386252948 Endpoints LLC Clinic/Center 3036 General Lee Rd, Macon, GA 31204-1518 2020-07-20
1790393684 Reclaimu Healthcare Services, LLC Clinic/Center 2037 Ema Dell Pl, Loganville, GA 30052-5375 2020-07-16
1972120970 Imagine New Beginnings Clinic/Center 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 2020-06-25
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Competitor

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City MARTINEZ
Zip Code 30907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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