Psychologist Office

LBN: George L Miller Iii, Psy.D
Psychologist Office is an health care organization with primary practice located at 408 E Bolton St , Savannah GA 31401-5920. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. George L Miller Iii, Psy.D can be contacted via phone (912) 447-5530, or through Madrid, Angelina via phone (912) 447-5530.

Contact Information

Primary practice address
408 E Bolton St Savannah GA 31401-5920
Phone: (912) 447-5530
Fax: (912) 447-4613
Website:
Map and Directions
Authorized official contact:
Name: Madrid, Angelina
Phone: (912) 447-5530

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008244 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC008245 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002167 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001080 Georgia

Profile Details

NPI number 1841705290
LBN Legal business name George L Miller Iii, Psy.D
DBA Doing business as Psychologist Office
Authorized official Madrid, Angelina
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2017
Last updated Jun 16th, 2018 - about 6 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 1841705290 NPPES
Georgia MEDICAID 003182270A

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