Mental Space LLC

NPI #1295372225 in Martinez, Georgia

Provider Information

NPI Number: 1295372225
Entity Type: Organization
Organization Name: Mental Space LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 10, 2019
Last Updated: Nov 18, 2021

Practice Location

Address: 4408 COLUMBIA RD STE 104
City: Martinez
State: Georgia
ZIP Code: 30907-4561
Phone: (707) 819-1390

Authorized Official

Name: JESSICA STRINGFIELD
Title: OWNER
Phone: (706) 619-1390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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