Mental Space Llc

LBN: Mental Space Llc
Mental Space Llc is an health care organization with primary practice located at 4408 Columbia Rd Ste 104 , Martinez GA 30907-4561. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Mental Space Llc can be contacted via phone (707) 819-1390, or through Stringfield, Jessica via phone (706) 619-1390.

Contact Information

Primary practice address
4408 Columbia Rd Ste 104 Martinez GA 30907-4561
Phone: (707) 819-1390
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stringfield, Jessica
Phone: (706) 619-1390

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1295372225
LBN Legal business name Mental Space Llc
DBA Doing business as
Authorized official Stringfield, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2019
Last updated Nov 18th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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