Grace Psychotherapy & Psychological Assesment Services Of North Ga

LBN: Grace Psychotherapy & Psychological Assesment Services Of North Ga
Grace Psychotherapy & Psychological Assesment Services Of North Ga is an health care organization with primary practice located at 1 Huntington Rd Suite 801, Athens GA 30606-7204. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Grace Psychotherapy & Psychological Assesment Services Of North Ga can be contacted via phone (706) 552-0450, or through Grace, John F via phone (706) 552-0450.

Contact Information

Primary practice address
1 Huntington Rd Suite 801 Athens GA 30606-7204
Fax: (706) 850-7211
Website:
Authorized official contact:
Name: Grace, John F PSY,D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003032 Georgia

Profile Details

NPI number 1093062606
LBN Legal business name Grace Psychotherapy & Psychological Assesment Services Of North Ga
DBA Doing business as
Authorized official Grace, John F PSY,D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2012
Last updated Nov 5th, 2012 - about 13 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 1093062606 NPPES
Georgia MEDICAID 476047042A

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