# L G D PSYCHOLOGICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1336304799
- **Authorized official:** LINDA GAIL DENNARD LCSW (P:RESIDENT)
- **Authorized official phone:** (770) 469-6794

## Contact information

- **Practice address:** 5438 REDWOOD CT, STONE MOUNTAIN, GA 30087-5758
- **Practice address phone:** (770) 469-6794
- **Mailing address:** 5438 REDWOOD CT, STONE MOUNTAIN, GA 30087-5758
- **Mailing address phone:** (770) 469-6794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2008
- **Last updated:** 07/25/2008
