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General NPI Number Information
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NPI Number | 1891380036
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Entity Type | Organization
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Legal Business Name | UNITEDHANDS MENTAL & BEHAVIORAL HEALTH CLINIC INC.,
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 1115 MOUNT ZION RD STE J
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City | MORROW
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State | GA
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Zip | 30260-2266
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Country | US
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Telephone | 770-703-3549
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Fax | 531-200-7387
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Provider Business Mailing Address
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Address Line | 1115 MOUNT ZION RD STE J
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City | MORROW
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State | GA
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Zip | 30260-2266
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Country | US
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Telephone | 770-703-3549
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Fax | 531-200-7387
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Authorized Official
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Title or Position | NP-C
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Name | VERA MAHOU
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Credential | NURSE PRACTITIONER
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Telephone | 770-703-3549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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