Provider Demographics
NPI:1467828558
Name:MCMAHAN, ELEANOR HELM (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:HELM
Last Name:MCMAHAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 JENNINGS MILL RD UNIT 3200B
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-7282
Mailing Address - Country:US
Mailing Address - Phone:678-895-7493
Mailing Address - Fax:
Practice Address - Street 1:1551 JENNINGS MILL RD UNIT 3200B
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7282
Practice Address - Country:US
Practice Address - Phone:678-895-7493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003922103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling