MEDICARE: MEDITATEOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1851278022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDITATEOLOGY, LLC

Provider Business Mailing Address
First Line	:	58 ALDEN AVE NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2007
Country	:	US
Telephone Number	:	678-524-1962
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 ALDEN AVE NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2007
Country	:	US
Telephone Number	:	678-524-1962
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC O HAMPTON
Credential	:
Telephone Number	:	678-524-1962

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	03/11/2026

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Directions to “MEDITATEOLOGY, LLC ” Practice Location

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