| Whg Psychological Services Llc | |
|
1864 Independence Sq Ste A Dunwoody GA 30338-5160 | |
| (404) 423-9637 | |
| (770) 668-0417 |
| Full Name | Whg Psychological Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1864 Independence Sq Ste A, Dunwoody, Georgia |
| Authorized Official Name and Position | Wendy Heath-gainer (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4044239637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whg Psychological Services Llc 1864 Independence Sq Ste A Dunwoody GA 30338-5160 Ph: (404) 423-9637 | Whg Psychological Services Llc 1864 Independence Sq Ste A Dunwoody GA 30338-5160 Ph: (404) 423-9637 |
| NPI Number | 1518623057 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 9830589498 |
|---|---|
| Medicare Enrollment ID | O20211214001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518623057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Wendy D Heath-gainer |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1245635879 PECOS PAC ID: 3476846684 Enrollment ID: I20160726001945 |
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