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MIR BEHAVIORAL HEALTH LLC
NPI 1629359807
Psychologist - Clinical in Lithonia, GA

Active since September 01, 2011
6886 MAIN ST, STE 215, LITHONIA, GA 30058(404) 759-3444 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mir Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIR BEHAVIORAL HEALTH LLC (NPI 1629359807) is a healthcare organization registered as a clinical in Lithonia, Georgia and active in the NPI registry since September 2011. The organization lists Madinah I Ralston, Owner, as its authorized official.

NPPES Registry Identity

NPI1629359807
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMIR BEHAVIORAL HEALTH LLC
Location Address6886 MAIN ST, STE 215Lithonia, GA 30058-4508
Mailing Address1227 Rockbridge Rd, Ste 208-185Stone Mountain, GA 30087-3064
Phone(404) 759-3444
Organization SubpartNo
Authorized OfficialMadinah I RalstonOwner · (770) 759-3444
Enumeration DateSeptember 1, 2011
✔ NPI 1629359807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY003079
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6886 MAIN ST, Lithonia, GA 30058
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Other Identifiers 1

Medicaid127231218GGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLISTIC ATLANTA
Counselor (Professional)
6886 MAIN ST
STONECREST, GA 30058
Dekalb County (404) 808-0870
MS. MISTY WILLIAMS ED.S, LPC, CADC II
Counselor (Professional)
6886 MAIN ST
LITHONIA, GA 30058
Dekalb County (404) 357-4617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mir Behavioral Health LLC's NPI number?

The NPI number for Mir Behavioral Health LLC is 1629359807. It was assigned to this organization in the NPPES registry on September 1, 2011.

Where is Mir Behavioral Health LLC located?

Mir Behavioral Health LLC is located at 6886 Main St Ste 215, Lithonia, GA 30058. The listed phone number is (404) 759-3444.

What is Mir Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mir Behavioral Health LLC was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.