Momtahan, Mohammad Mehdi

Momtahan, Mohammad Mehdi is an individual health care provider with primary practice located at 59 Hillside Trace Suite 113, Dallas GA 30157-3315. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Momtahan, Mohammad Mehdi can be contacted via phone (770) 443-1644.

Contact Information

Primary practice address
59 Hillside Trace Suite 113 Dallas GA 30157-3315
Phone: (770) 443-1644
Fax: (770) 443-1633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X NCC 210724 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C0040 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MAC 12619 Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICAADC 202225 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCODP-D 0004 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ACS 00557 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004345 Georgia
Other Service Providers / Specialist 174400000X CFAS 12619 Indiana
Other Service Providers / Specialist 174400000X BDFC 12619 Indiana

Profile Details

NPI number 1225271422
LBN Legal business name Momtahan, Mohammad Mehdi
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2009
Last updated Jan 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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