SOUBLIS PSYCHOLOGICAL ASSOCIATES LLC NPI 1336094234

NPI Information

  • NPI: 1336094234
  • Provider Name: SOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 1003 BOMBAY LN
    ROSWELL, GA
    ZIP 30076
  • Phone: (678) 782-2560

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NPI Details

SOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC is a clinical psychologist in Roswell, GA. The provider is 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. SOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC NPI is 1336094234. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1003 BOMBAY LN
ROSWELL, GA
ZIP 30076-820
Phone: (678) 782-2560
Fax: (678) 782-2560

The provider's authorized official is Theodora Soublis .
The authorized official title is Director and has the following contact phone number (770) 362-4815.

The enumeration date for this NPI number is 3/4/2026 and was last updated on 3/4/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
2101YP2500XCounselorProfessionalNo
3103TC0700XPsychologistClinicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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