Powell Psychological Associates

LBN: Powell Psychological Associates
Powell Psychological Associates is an health care organization with primary practice located at 2501 E Piedmont Rd Suite 200, Pmb 5, Marietta GA 30062-7752. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Powell Psychological Associates can be contacted via phone (404) 403-6177, or through Powell, James via phone (404) 403-6177.

Contact Information

Primary practice address
2501 E Piedmont Rd Suite 200, Pmb 5 Marietta GA 30062-7752
Phone: (404) 403-6177
Fax: (404) 393-6460
Website:
Map and Directions
Authorized official contact:
Name: Powell, James PH.D.
Phone: (404) 403-6177

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002212 Georgia

Profile Details

NPI number 1003169145
LBN Legal business name Powell Psychological Associates
DBA Doing business as
Authorized official Powell, James PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2012
Last updated Oct 25th, 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 1003169145 NPPES
Georgia MEDICAID 000480686A

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