Providence Residential & Outpatient Ptsd Services, LLC
NPI #1215357272 in Douglasville, Georgia
Provider Information
- NPI Number
- 1215357272
- Entity Type
- Organization
- Organization Name
- Providence Residential & Outpatient Ptsd Services, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 17, 2014
- Last Updated
- Apr 17, 2014
Practice Location
- Address
- 6576 CHURCH ST
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-1884
- Phone
- (770) 577-7873
Authorized Official
- Name
- FELICIA BERRY-MITCHELL, PHD
- Title
- PRESIDENT
- Phone
- (770) 577-7873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
| Social Worker |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Nutritionist |
| Dietetic Technician, Registered |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Licensed Practical Nurse |
| Acupuncturist |
| Case Manager/Care Coordinator |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Technician |
| Psychologist - Clinical — Clinical |
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