Chl Psychology Associates

LBN: Chl Psychology Associates
Chl Psychology Associates is an health care organization with primary practice located at 1001 Weatherstone Pkwy Suite 430, Woodstock GA 30188-4495. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Chl Psychology Associates can be contacted via phone (770) 592-0150, or through Leavitt, Caroline via phone (770) 592-0150.

Contact Information

Primary practice address
1001 Weatherstone Pkwy Suite 430 Woodstock GA 30188-4495
Fax: (770) 592-0971
Website:
Authorized official contact:
Name: Leavitt, Caroline PH.D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X PSY003317 Georgia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X PSY003317 Georgia

Profile Details

NPI number 1821429721
LBN Legal business name Chl Psychology Associates
DBA Doing business as
Authorized official Leavitt, Caroline PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2013
Last updated Dec 3rd, 2013 - about 11 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 1821429721 NPPES
Georgia MEDICAID 502314641A

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