West Georgia Psychological Services
LBN: West Georgia Psychological Services
West Georgia Psychological Services is an health care organization with primary practice located at 6264 Hospital Way , Douglasville GA 30134-1944. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
West Georgia Psychological Services can be contacted via phone (678) 232-9078, or through Caudill, Tina Marie via phone (678) 232-9078.
Contact Information
Primary practice address
6264 Hospital Way
Douglasville GA 30134-1944
Phone: (678) 232-9078
Fax: (866) 489-2642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002899 | Georgia |
Profile Details
| NPI number | 1962543579 |
|---|---|
| LBN Legal business name | West Georgia Psychological Services |
| DBA Doing business as | |
| Authorized official | Caudill, Tina Marie PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Apr 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962543579 | NPPES |
| Georgia | MEDICAID | 112025855C | |
| Georgia | Other | 10071390 | |
| Georgia | MEDICAID | 112025855E | |
| Georgia | MEDICAID | 112025855D | |
| Georgia | MEDICAID | 112025855F |
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