Gabriel Psychological Services, Inc.

LBN: Gabriel Psychological Services, Inc.
Gabriel Psychological Services, Inc. is an health care organization with primary practice located at 2791 Main St , East Point GA 30344-6941. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Gabriel Psychological Services, Inc. can be contacted via phone (678) 904-0965, or through Gabriel, Kamieka via phone (404) 579-6473.

Contact Information

Primary practice address
2791 Main St East Point GA 30344-6941
Phone: (678) 904-0965
Fax: (678) 904-0964
Website:
Map and Directions
Authorized official contact:
Name: Gabriel, Kamieka PH.D.
Phone: (404) 579-6473

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002724 Georgia
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY002724 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002724 Georgia

Profile Details

NPI number 1255507554
LBN Legal business name Gabriel Psychological Services, Inc.
DBA Doing business as
Authorized official Gabriel, Kamieka PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 6th, 2008 - about 17 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 1255507554 NPPES
Georgia Other 10049656 AMERIGROUP
Georgia Other 101065 AMERIGROUP
Georgia MEDICAID 743365513B AMERIGROUP
Georgia MEDICAID 743365513D AMERIGROUP
Georgia Other 789824000 AMERIGROUP

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