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General NPI Number Information
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NPI Number | 1760289250
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Entity Type | Organization
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Legal Business Name | RESILIENT MINDS OF GEORGIA
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 3330 CUMBERLAND BLVD SE STE 504
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City | ATLANTA
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State | GA
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Zip | 30339-5995
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Country | US
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Telephone | 770-933-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 CUMBERLAND BLVD SE STE 504
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City | ATLANTA
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State | GA
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Zip | 30339-5995
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Country | US
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Telephone | 770-933-6267
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | DR. KIMBERLY SPELLMAN
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Credential | LPC014156
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Telephone | 470-382-0583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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