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Contact Information

PLM METTA HEALING OASIS, LLC
920 DANNON VW SW STE 3203
ATLANTA, GA30331-2161
 Phone: 404-590-8156
 Fax: 206-350-3122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PLM METTA HEALING OASIS, LLC

NPI # 1316385446
LBN Legal business name PLM METTA HEALING OASIS, LLC
Authorized official PAMELA JENKINS - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2013
Last updated 02/24/2021 - About 5 years ago
Identifiers
GA License # PSY 003657
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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