Douglasville Psychological Outpatient Services | |
8304 Office Park Dr Douglasville GA 30134-6935 | |
(678) 838-9336 | |
Not Available |
Full Name | Douglasville Psychological Outpatient Services |
---|---|
Speciality | Community/behavioral Health |
Location | 8304 Office Park Dr, Douglasville, Georgia |
Authorized Official Name and Position | Michella Catherine Jones (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 6788389336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Douglasville Psychological Outpatient Services 8304 Office Park Dr Douglasville GA 30134-6935 Ph: (678) 838-9336 | Douglasville Psychological Outpatient Services 8304 Office Park Dr Douglasville GA 30134-6935 Ph: (678) 838-9336 |
NPI Number | 1073909198 |
---|---|
Provider Enumeration Date | 04/15/2015 |
Last Update Date | 04/15/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073909198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC003228 (Georgia) | Primary |
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