# PASCALE PSYCHIATRIC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316762743
- **Authorized official:** MICHAEL PASCALE (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (617) 468-6893

## Contact information

- **Practice address:** 485 HUNTINGTON RD STE 199-202, ATHENS, GA 30606-1861
- **Practice address phone:** (617) 468-6893
- **Mailing address:** 2407 BROOKSIDE CIR, STATHAM, GA 30666-3526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024