Sage Psychological Consulting

LBN: Sage Psychological Consulting
Sage Psychological Consulting is an health care organization with primary practice located at 526 Forest Pkwy Ste C , Forest Park GA 30297-6140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as the primary health care specialty. Sage Psychological Consulting can be contacted via phone (404) 317-2283, or through Wallace, Triphinia Margaret via phone (404) 317-2283.

Contact Information

Primary practice address
526 Forest Pkwy Ste C Forest Park GA 30297-6140
Phone: (404) 317-2283
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Triphinia Margaret PHD
Phone: (404) 317-2283

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X

Profile Details

NPI number 1235866120
LBN Legal business name Sage Psychological Consulting
DBA Doing business as
Authorized official Wallace, Triphinia Margaret PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2022
Last updated Aug 2nd, 2022 - about 4 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 1235866120 NPPES
Georgia MEDICAID 003222721A

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