Healthcare Provider Details

I. General information

NPI: 1871208090
Provider Name (Legal Business Name): PLURAL MINDS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 MANSELL RD STE 300
ALPHARETTA GA
30022-8219
US

IV. Provider business mailing address

4555 MANSELL RD STE 300
ALPHARETTA GA
30022-8219
US

V. Phone/Fax

Practice location:
  • Phone: 404-583-9850
  • Fax:
Mailing address:
  • Phone: 404-583-9850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LUCIANA SACRAMENTO AGUIAR
Title or Position: CLINICAL DIRECTOR
Credential: LPC, CRC, NCC
Phone: 404-583-9850