Psychological Consultants Of Marietta, Pc
LBN: Psychological Consultants Of Marietta, Pc
Psychological Consultants Of Marietta, Pc is an health care organization with primary practice located at 600 Kennesaw Ave Nw Suite 300, Marietta GA 30060-6988. The organization recently has 2 registered licenses in different health care specialties including 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.
Psychological Consultants Of Marietta, Pc can be contacted via phone (770) 420-9448, or through Roland, Mark Manfred via phone (770) 420-9448.
Contact Information
Primary practice address
600 Kennesaw Ave Nw Suite 300
Marietta GA 30060-6988
Phone: (770) 420-9448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1872 | Georgia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 897 | Georgia |
Profile Details
| NPI number | 1093802233 |
|---|---|
| LBN Legal business name | Psychological Consultants Of Marietta, Pc |
| DBA Doing business as | |
| Authorized official | Roland, Mark Manfred PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093802233 | NPPES |
| Georgia | MEDICAID | 00661691A |
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