| Georgia Psychological Services | |
|
4139 Columbia Rd Ste A Martinez GA 30907-5401 | |
| (706) 210-3066 | |
| (706) 210-8703 |
| Full Name | Georgia Psychological Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4139 Columbia Rd Ste A, Martinez, Georgia |
| Authorized Official Name and Position | David Wayne Proefrock (CEO) |
| Authorized Official Contact | 7062103066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Psychological Services Po Box 211626 Augusta GA 30917-1626 Ph: (706) 210-3066 | Georgia Psychological Services 4139 Columbia Rd Ste A Martinez GA 30907-5401 Ph: (706) 210-3066 |
| NPI Number | 1811044464 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811044464 | NPI | - | NPPES |
| 8840000796A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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D. W. De Vose & Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 11b, Martinez, GA 30907 Phone: 706-364-6576 Fax: 888-445-2452 | |
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