KATELYN MARTIN NPI 1306547195

NPI Information

NPI: 1306547195
Provider Name: KATELYN MARTIN
Classification: Clinic/Center - 261QM0850X
Entity Type: Individual

Specialization: Adult Mental Health

Address:
3754 LAVISTA RD STE 200
TUCKER, GA
ZIP 30084
Phone: (678) 896-8246
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Katelyn Martin is an adult mental health clinic center in Tucker, 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 adults. Katelyn Martin NPI is 1306547195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3754 LAVISTA RD STE 200
TUCKER, GA
ZIP 30084-627
Phone: (678) 896-8246

The enumeration date for this NPI number is 3/17/2023 and was last updated on 3/17/2023.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	APC008329	GEORGIA	Yes

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

NPI Synchronization or Removal

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