Organization Name: | MALINDA GRAHAM & ASSOCIATES |
NPI Number: | 1619166204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MALINDA D GRAHAM (EXECUTIVE DIRECTOR) |
Mailing Address: | 445 E G Miles Pkwy Suite 106 Hinesville |
State: | GA US |
Postal Code: | 313133230 |
Phone Number: | 9129776523 |
Fax Number: | 6143883712 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | APC001285 |
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 |