Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES, LLC
Active OrganizationPROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES, LLC is a Clinical Psychologist organization located in DOUGLASVILLE, Georgia. NPI 1215357272 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1215357272
- Provider Type
- Organization
- NPI Issued
- Apr 17, 2014 (12.307909105571 yrs)
- Last Updated
- Apr 17, 2014
Practice Information
- Address
-
6576 CHURCH STDOUGLASVILLE, GA, 301341884Browse GA providers · Browse ZIP 30134
- Phone
- 7705777873
- Fax
- 7705777871
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Psychologist Organizations in DOUGLASVILLE, GA
| Name | NPI |
|---|---|
| WEST GEORGIA PSYCHOLOGICAL SERVICES | 1962543579 |
| DENNIS L. HERENDEEN, PH.D., P.C. | 1336363928 |
| INSIGHT PSYCHOLOGICAL SOLUTIONS LLC | 1154021350 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.