Provider Demographics
NPI:1093306722
Name:GLOBAL MENTALITY
Entity Type:Organization
Organization Name:GLOBAL MENTALITY
Other - Org Name:GLOBAL MENTALITY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NATSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:912-481-0080
Mailing Address - Street 1:4246 WASHINGTON RD STE 8
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3345
Mailing Address - Country:US
Mailing Address - Phone:762-218-5328
Mailing Address - Fax:631-350-0321
Practice Address - Street 1:4246 WASHINGTON RD STE 8
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3345
Practice Address - Country:US
Practice Address - Phone:762-218-5328
Practice Address - Fax:631-350-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center