GEORGIA PSYCHOLOGICAL TREATMENT CENTER LLC NPI 1427569185

NPI Information

NPI: 1427569185
Provider Name: GEORGIA PSYCHOLOGICAL TREATMENT CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1640 POWERS FERRY RD SE
MARIETTA, GA
ZIP 30067
Phone: (770) 575-1696
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GEORGIA PSYCHOLOGICAL TREATMENT CENTER LLC is a mental health counselor in Marietta, GA. GEORGIA PSYCHOLOGICAL TREATMENT CENTER LLC NPI is 1427569185. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1640 POWERS FERRY RD SE
MARIETTA, GA
ZIP 30067-491
Phone: (770) 575-1696
Fax: (404) 891-6467

The provider's authorized official is Lydia Odenat .
The authorized official title is Psychologist and has the following contact phone number (678) 687-9149.

The enumeration date for this NPI number is 10/20/2017 and was last updated on 10/20/2017.

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
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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