NPIMap

Organization Active NPI

Unitedhands Mental & Behavioral Health Clinic Inc.,

  • Psychiatric/Mental Health Nurse Practitioner
  • Morrow, GA
National Provider Identifier
1891380036
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
UNITEDHANDS MENTAL & BEHAVIORAL HEALTH CLINIC INC.,
Practice address
1115 Mount Zion Rd Ste J
Morrow, GA 30260-2266
Phone
(770) 703-3549
Fax
(531) 200-7387
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vera Mahou, NURSE PRACTITIONERNPI 1598278558
Title
NP-C
Phone
(770) 703-3549

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1115 Mount Zion Rd Ste J
Morrow, GA 30260-2266

Mailing address

1115 Mount Zion Rd Ste J
Morrow, GA 30260-2266
Phone (770) 703-3549

Other names 1

  • UNITEDHANDS MENTAL & BEHAVIORAL HEALTH INC, Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1891380036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD STE J",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-703-3549",
            "fax_number": "531-200-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD STE J",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-703-3549",
            "fax_number": "531-200-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITEDHANDS MENTAL & BEHAVIORAL HEALTH CLINIC INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "MAHOU",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "NP-C",
        "authorized_official_telephone_number": "770-703-3549",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1115 Mount Zion Rd Ste J",
            "city": "Morrow",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302602266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UNITEDHANDS MENTAL & BEHAVIORAL HEALTH INC,",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.