Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVENANCE PSYCHIATRIC SERVICES LLC
Active OrganizationPROVENANCE PSYCHIATRIC SERVICES LLC is a Psychiatric/Mental Health, Community CNS organization located in BLAIRSVILLE, Georgia. NPI 1932885530 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · BLAIRSVILLE, GA
Registration Details
- NPI Number
- 1932885530
- Provider Type
- Organization
- NPI Issued
- Jun 27, 2023 (3.1781188587745 yrs)
- Last Updated
- Mar 19, 2025
Practice Information
- Address
-
643 RAY LEWIS RDBLAIRSVILLE, GA, 305121439Browse GA providers · Browse ZIP 30512
- Phone
- 7069701948
- Fax
- 8779307732
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
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.