Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mindclub Georgia LLC

Organization Clinical Social Worker · NPI 1750255741

Mindclub Georgia LLC is a Clinical Social Worker in Decatur, Georgia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1244 Clairmont Rd Ste 101
Decatur, GA 30030-1250
Phone: (615) 390-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1750255741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Richardson — Vp, Cao · (615) 390-2865
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address106 Mission Ct Ste 201a, Franklin, TN 37067-6441

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