| Chl Psychology Associates | |
|
1001 Weatherstone Pkwy Suite 430 Woodstock GA 30188-4495 | |
| (770) 592-0150 | |
| (770) 592-0971 |
| Full Name | Chl Psychology Associates |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1001 Weatherstone Pkwy, Woodstock, Georgia |
| Authorized Official Name and Position | Caroline Leavitt (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7705920150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chl Psychology Associates 1001 Weatherstone Pkwy Suite 430 Woodstock GA 30188-4495 Ph: (770) 592-0150 | Chl Psychology Associates 1001 Weatherstone Pkwy Suite 430 Woodstock GA 30188-4495 Ph: (770) 592-0150 |
| NPI Number | 1821429721 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821429721 | NPI | - | NPPES |
| 502314641A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY003317 (Georgia) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PSY003317 (Georgia) | Secondary |
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