Elise Psychological Services, Llc

LBN: Elise Psychological Services, Llc
Elise Psychological Services, Llc is an health care organization with primary practice located at 1330 Concord Rd Se Suite 203, Smyrna GA 30080-4375. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Elise Psychological Services, Llc can be contacted via phone (770) 434-4448, or through Ward, Regina via phone (770) 434-4448.

Contact Information

Primary practice address
1330 Concord Rd Se Suite 203 Smyrna GA 30080-4375
Phone: (770) 434-4448
Fax: (770) 434-4449
Website:
Map and Directions
Authorized official contact:
Name: Ward, Regina EDD
Phone: (770) 434-4448

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009380 Georgia

Profile Details

NPI number 1164654976
LBN Legal business name Elise Psychological Services, Llc
DBA Doing business as
Authorized official Ward, Regina EDD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2009
Last updated Aug 12th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164654976 NPPES
Georgia MEDICAID 1861554776

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