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DOUGLASVILLE OUTPATIENT PSYCHOLOGICAL SERVICES NPI 1902276686


NPI Information

NPI: 1902276686
Provider Name: DOUGLASVILLE OUTPATIENT PSYCHOLOGICAL SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2722 STILLWATER LAKE LN
MARIETTA, GA
ZIP 30066
Phone: (770) 265-8336
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DOUGLASVILLE OUTPATIENT PSYCHOLOGICAL SERVICES is a professional counselor in Marietta, GA. DOUGLASVILLE OUTPATIENT PSYCHOLOGICAL SERVICES NPI is 1902276686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2722 STILLWATER LAKE LN
MARIETTA, GA
ZIP 30066-906
Phone: (770) 265-8336
Fax: (770) 578-1006

The provider's authorized official is Michella Jones .
The authorized official title is Lpc and has the following contact phone number (678) 838-9336.

The enumeration date for this NPI number is 10/7/2015 and was last updated on 10/7/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalLPC007582GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.