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COUNSELING & PSYCHIATRY OF GWINNETT LLC NPI 1710937099


NPI Information

NPI: 1710937099
Provider Name: COUNSELING & PSYCHIATRY OF GWINNETT, LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2301 HENRY CLOWER BLVD
SUITE A
SNELLVILLE, GA
ZIP 30078
Phone: (770) 978-9393
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COUNSELING & PSYCHIATRY OF GWINNETT, LLC is a psychiatry psychiatry neurology in Snellville, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COUNSELING & PSYCHIATRY OF GWINNETT, LLC NPI is 1710937099. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2301 HENRY CLOWER BLVD
SUITE A
SNELLVILLE, GA
ZIP 30078-152
Phone: (770) 978-9393
Fax: (770) 978-9324

The provider's authorized official is Linda Anderson .
The authorized official title is Ceo and has the following contact phone number (770) 978-9393.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/23/2016.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry045522GEORGIANo
2106H00000XMarriage & Family Therapist000290GEORGIANo
3106H00000XMarriage & Family TherapistMFT000665GEORGIANo
4103TC2200XPsychologistClinical Child & Adolescent001166GEORGIANo
51041C0700XSocial WorkerClinicalCSW03196GEORGIANo
62084P0800XPsychiatry & NeurologyPsychiatry040961GEORGIAYes
7363A00000XPhysician Assistant7753GEORGIANo
8363A00000XPhysician Assistant7799GEORGIANo
9363A00000XPhysician Assistant7551GEORGIANo

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
1GRP8143MEDICARE PINGEORGIA

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

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