Psychological Affiliates

LBN: Psychological Affiliates
Psychological Affiliates is an health care organization with primary practice located at 122 Cherry St Ne , Marietta GA 30060-7206. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Psychological Affiliates can be contacted via phone (770) 427-2911, or through Grisham, Jack Holland via phone (770) 427-2911.

Contact Information

Primary practice address
122 Cherry St Ne Marietta GA 30060-7206
Phone: (770) 427-2911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grisham, Jack Holland PH.D.
Phone: (770) 427-2911

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 000669 GA Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001135 GA Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X GA CSW003681 Georgia

Profile Details

NPI number 1376728394
LBN Legal business name Psychological Affiliates
DBA Doing business as
Authorized official Grisham, Jack Holland PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2008
Last updated Jan 9th, 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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