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Contact Information

COOL MINDS GROUP, LLC
950 DANNON VW SW
SUITE 4102
ATLANTA, GA30331-2160
 Phone: 404-699-9600
 Fax: 404-696-7100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for COOL MINDS GROUP, LLC

NPI Number 1598070096
LBN Legal business name COOL MINDS GROUP, LLC
Authorized official DEBORA JOHNSON - (PRESIDENT/ CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2010
Last updated 08/10/2010 - About 16 years ago
Identifiers
GA License # 043071
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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