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PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES, LLC

Clinical Psychologist

NPI: 1215357272Organization

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Counselor — Professional

Code: 101YP2500X

Social Worker

Code: 104100000X

Social Worker — Clinical

Code: 1041C0700X

Marriage & Family Therapist

Code: 106H00000X

Nutritionist

Code: 133N00000X

Dietetic Technician, Registered

Code: 136A00000X

Registered Nurse — Psychiatric/Mental Health

Code: 163WP0808X

Licensed Practical Nurse

Code: 164W00000X

Acupuncturist

Code: 171100000X

Case Manager/Care Coordinator

Code: 171M00000X

Psychiatry & Neurology — Psychiatry

Code: 2084P0800X

Technician

Code: 374700000X

Psychologist — Clinical

Code: 103TC0700X

PSY003237(GA)

Contact & Hours

Address
6576 CHURCH ST
DOUGLASVILLE, GA 30134

Quick Facts

NPI
1215357272
Entity Type
Organization
Medicare
Not confirmed
Specialties
15
Locations
1

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