1922296813 CLAYTON MHDDAD

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
CLAYTON MHDDAD
Enumeration Date
October 5, 2007
Last Update
November 15, 2011
Authorized Official
MR. TERRY COLE
EXECUTIVE DIRECTOR
Phone: (770) 478-2280

Practice Location

Address
217 STOCKBRIDGE RD
JONESBORO, GA 302363628
Phone
(770) 471-4617
Fax
(770) 471-7817

Mailing Address

Address
157 SMITH ST
JONESBORO, GA 302363546
Phone
(770) 478-2280
Fax
(770) 477-9772

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A No
Clinic/Center
261Q00000X Clinic/Center N/A N/A No
Developmentally Disabled Services Day Training Agency
251C00000X Day Training, Developmentally Disabled Services N/A N/A No
Adult Day Care Clinic/Center
Adult Day Care
261QA0600X Clinic/Center N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center N/A N/A No
Developmental Disabilities Clinic/Center
Developmental Disabilities
261QD1600X Clinic/Center N/A N/A No
Counselor
101Y00000X Counselor N/A N/A No
Mental Health Counselor
Mental Health
101YM0800X Counselor N/A N/A No
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
101YA0400X Counselor N/A N/A No
Adult Development & Aging Psychologist
Adult Development & Aging
103TA0700X Psychologist N/A N/A No
Intellectual & Developmental Disabilities Psychologist
Intellectual & Developmental Disabilities
103TM1800X Psychologist N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
00395458A 05 GA N/A
00604205G 05 GA N/A

Frequently Asked Questions

What is CLAYTON MHDDAD's NPI number?
CLAYTON MHDDAD's NPI number is 1922296813.
Which doctor has NPI number 1922296813?
The doctor with NPI number 1922296813 is CLAYTON MHDDAD.
What is CLAYTON MHDDAD's practice address?
CLAYTON MHDDAD's practice address is 217 STOCKBRIDGE RD, JONESBORO, GA, 302363628.
Which doctor practices at 217 STOCKBRIDGE RD, JONESBORO, GA, 302363628?
CLAYTON MHDDAD practices at 217 STOCKBRIDGE RD, JONESBORO, GA, 302363628.
What is CLAYTON MHDDAD's mailing address?
CLAYTON MHDDAD's mailing address is 157 SMITH ST, JONESBORO, GA, 302363546.
What is CLAYTON MHDDAD's phone number?
CLAYTON MHDDAD's phone number is (770) 471-4617.
Who is (770) 471-4617?
(770) 471-4617 is the phone number for CLAYTON MHDDAD.
What is CLAYTON MHDDAD's specialty?
CLAYTON MHDDAD's specialty is Community/Behavioral Health Agency.
What type of doctor is CLAYTON MHDDAD?
CLAYTON MHDDAD is a Community/Behavioral Health Agency.
Is CLAYTON MHDDAD a Community/Behavioral Health?
Yes, CLAYTON MHDDAD is a Community/Behavioral Health.
Is CLAYTON MHDDAD still practicing?
Yes, CLAYTON MHDDAD is currently practicing.
Is CLAYTON MHDDAD accepting new patients?
CLAYTON MHDDAD may be accepting new patients. Please call their office at (770) 471-4617 to inquire about availability.
Is NPI 1922296813 still active?
Yes, NPI 1922296813 is currently active.
Where does CLAYTON MHDDAD practice?
CLAYTON MHDDAD practices in JONESBORO, GA.