Peachtree Psychology

LBN: Peachtree Psychology
Peachtree Psychology is an health care organization with primary practice located at 555 Sun Valley Dr P4, Roswell GA 30076-5612. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Peachtree Psychology can be contacted via phone (678) 381-1687, or through Keenan, Susan via phone (617) 206-3976.

Contact Information

Primary practice address
555 Sun Valley Dr P4 Roswell GA 30076-5612
Phone: (678) 381-1687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keenan, Susan
Phone: (617) 206-3976

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 003161 Georgia

Profile Details

NPI number 1467805747
LBN Legal business name Peachtree Psychology
DBA Doing business as
Authorized official Keenan, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 21st, 2016 - about 10 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 1467805747 NPPES
Georgia Other 003161 LICENSE

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