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MONTE NIDO GEORGIA LLC NPI 1275161192


NPI Information

NPI: 1275161192
Provider Name: MONTE NIDO GEORGIA LLC

Doing Business As: CLEMENTINE ATLANTA

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
124 JOHNSON FERRY RD NE
SANDY SPRINGS, GA
ZIP 30328
Phone: (305) 663-1876
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MONTE NIDO GEORGIA LLC is an adolescent and children mental health clinic center in Sandy Springs, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. MONTE NIDO GEORGIA LLC NPI is 1275161192. The provider is registered as an organization entity type.
The provider Is Doing Business As Clementine Atlanta.

The provider's business location address is:

124 JOHNSON FERRY RD NE
SANDY SPRINGS, GA
ZIP 30328-004
Phone: (305) 663-1876
Fax: (786) 359-4485

The provider's authorized official is Mike Bagley .
The authorized official title is Chief Financial Officer and has the following contact phone number (305) 663-1876.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 2/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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