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Organization
CSRA PSYCHOLOGICAL SERVICES LIMITED LIABILITY COMPANY
Active
Organization
CSRA PSYCHOLOGICAL SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH L EDWARDS LPC (OWNER)
(706) 814-6429
Entity
Organization
Contact information
Practice address
930 GLENHAVEN DR, EVANS, GA 30809-0445
(706) 814-6429
(706) 814-6429
Mailing address
125 COMMERCIAL BLVD PO BOX 204301, MARTINEZ, GA 30917-4301
(706) 814-6429
(706) 814-6429
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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