Sweetwater Psychological Associates, Llc

LBN: Sweetwater Psychological Associates, Llc
Sweetwater Psychological Associates, Llc is an health care organization with primary practice located at 2625 Sandy Plains Rd Ste 202 Secondary Location, Marietta GA 30066-4291. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Sweetwater Psychological Associates, Llc can be contacted via phone (770) 732-0983, or through Martin, David Clyde via phone (770) 732-0982.

Contact Information

Primary practice address
2625 Sandy Plains Rd Ste 202 Secondary Location Marietta GA 30066-4291
Fax: (770) 732-1283
Website:
Authorized official contact:
Name: Martin, David Clyde PH.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001373 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001157 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW000729 Georgia

Profile Details

NPI number 1114085743
LBN Legal business name Sweetwater Psychological Associates, Llc
DBA Doing business as
Authorized official Martin, David Clyde PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 10th, 2007 - 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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