Athens Psychological Services, Llc

LBN: Athens Psychological Services, Llc
Athens Psychological Services, Llc is an health care organization with primary practice located at 1090 Founders Blvd Ste. B, Athens GA 30606-6163. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Athens Psychological Services, Llc can be contacted via phone (706) 548-8697, or through Mason, Joseph E. via phone (706) 548-8697.

Contact Information

Primary practice address
1090 Founders Blvd Ste. B Athens GA 30606-6163
Phone: (706) 548-8697
Fax: (706) 548-8698
Website:
Map and Directions
Authorized official contact:
Name: Mason, Joseph E.
Phone: (706) 548-8697

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002674 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY002674 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002674 Georgia

Profile Details

NPI number 1457627044
LBN Legal business name Athens Psychological Services, Llc
DBA Doing business as
Authorized official Mason, Joseph E.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2012
Last updated Mar 28th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457627044 NPPES
Georgia MEDICAID 050836150C
Georgia Other 10034544
Georgia Other 556185000

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