Organization Name: | MTBM GLOBAL REHABILITATION |
NPI Number: | 1457520660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SILVIO S REYES (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 2890a Ga Hwy 212 Suite 239 Conyers |
State: | GA US |
Postal Code: | 30094 |
Phone Number: | 7709877414 |
Fax Number: | 7709873106 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |