Active NPI
Mental Health Family Services, LLC
- Clinical Social Worker
- Conyers, GA
National Provider Identifier
1336458199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003742
- Legal business name
- MENTAL HEALTH FAMILY SERVICES, LLC
- Practice address
- 2385 Wall St SE
Conyers, GA 30013-2187 - Phone
- (678) 849-0324
- Fax
- (770) 388-0955
- NPI assigned
- Sep 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maria Lucie Bejacmar-Didier, PH.D., LCSW, CCDP-D
- Title
- Psychotherapist/Owner
- Phone
- (678) 849-0324
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003742 | GA | Primary |
Addresses
Primary practice location
2385 Wall St SE
Conyers, GA 30013-2187
Mailing address
2385 Wall St SE
Conyers, GA 30013-2187
Phone (678) 849-0324
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Conyers, GA
- NPI 1447378971
-
- Clinical Social Worker
- Conyers, GA
- NPI 1235866062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1336458199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 WALL ST SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132187",
"telephone_number": "678-849-0324",
"fax_number": "770-388-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 WALL ST SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132187",
"telephone_number": "678-849-0324",
"fax_number": "770-388-0955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH FAMILY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "BEJACMAR-DIDIER",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "LUCIE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
"authorized_official_telephone_number": "678-849-0324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., LCSW, CCDP-D"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.