JAMES L. GONZALES COUNSELING & PSYCHOLOGICAL SERVICES PC NPI 1275808487

NPI Information

NPI: 1275808487
Provider Name: JAMES L. GONZALES COUNSELING & PSYCHOLOGICAL SERVICES PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5435 SUGARLOAF PKWY
SUITE 1103
LAWRENCEVILLE, GA
ZIP 30043
Phone: (770) 995-6026
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JAMES L. GONZALES COUNSELING & PSYCHOLOGICAL SERVICES PC is an adult mental health clinic center in Lawrenceville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JAMES L. GONZALES COUNSELING & PSYCHOLOGICAL SERVICES PC NPI is 1275808487. The provider is registered as an organization entity type.

The provider's business location address is:

5435 SUGARLOAF PKWY
SUITE 1103
LAWRENCEVILLE, GA
ZIP 30043-700
Phone: (770) 995-6026
Fax: (770) 995-6084

The provider's authorized official is James L. Gonzales .
The authorized official title is Owner and has the following contact phone number (770) 995-6026.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 3/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	1640	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	027535	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD
2	00817275A	MEDICAID	GEORGIA
3	68BBCWH	MEDICARE PIN	GEORGIA
4	P00264939	OTHER	GEORGIA	RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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