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MINDCLUB GEORGIA LLC
NPI 1750255741
Social Worker - Clinical in Decatur, GA

Active since October 02, 2025
1244 CLAIRMONT RD STE 101, DECATUR, GA 30030(615) 390-2865 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mindclub Georgia Llc NPPES

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

MINDCLUB GEORGIA LLC (NPI 1750255741) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since October 2025. The organization lists Kathy Richardson, Vp, Cao, as its authorized official.

NPPES Registry Identity

NPI1750255741
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDCLUB GEORGIA LLC
Location Address1244 CLAIRMONT RD STE 101Decatur, GA 30030-1250
Mailing Address106 Mission Ct Ste 201aFranklin, TN 37067-6441
Phone(615) 390-2865
Organization SubpartNo
Authorized OfficialKathy RichardsonVp, Cao · (615) 390-2865
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1750255741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1244 CLAIRMONT RD STE 101, Decatur, GA 30030
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KATHERINE VIVIAN BRUSS PSY.D.
Psychologist
1244 CLAIRMONT RD STE 101
DECATUR, GA 30030
Dekalb County (404) 325-0526

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 Mindclub Georgia LLC's NPI number?

The NPI number for Mindclub Georgia LLC is 1750255741. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Mindclub Georgia LLC located?

Mindclub Georgia LLC is located at 1244 Clairmont Rd Ste 101, Decatur, GA 30030. The listed phone number is (615) 390-2865.

What is Mindclub Georgia LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mindclub Georgia LLC was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.