| Georgia Psychological Services, Llc | |
|
1431 Riverside Pkwy Ste A Lawrenceville GA 30043-5996 | |
| (770) 851-7662 | |
| Not Available |
| Full Name | Georgia Psychological Services, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1431 Riverside Pkwy Ste A, Lawrenceville, Georgia |
| Authorized Official Name and Position | Chad Potts (CEO) |
| Authorized Official Contact | 7708517662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Psychological Services, Llc 1431 Riverside Pkwy Ste A Lawrenceville GA 30043-5996 Ph: () - | Georgia Psychological Services, Llc 1431 Riverside Pkwy Ste A Lawrenceville GA 30043-5996 Ph: (770) 851-7662 |
| NPI Number | 1104657436 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104657436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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