| Douglasville Psychological Outpatient Services | |
|
8304 Office Park Dr Douglasville GA 30134-6935 | |
| (678) 838-9336 | |
| Not Available |
| Full Name | Douglasville Psychological Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8304 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Michella Catherine Jones (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6788389336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglasville Psychological Outpatient Services 8304 Office Park Dr Douglasville GA 30134-6935 Ph: (678) 838-9336 | Douglasville Psychological Outpatient Services 8304 Office Park Dr Douglasville GA 30134-6935 Ph: (678) 838-9336 |
| NPI Number | 1073909198 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 04/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073909198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC003228 (Georgia) | Primary |
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