Organization
FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC
Active
Organization
FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC
Active
Parent organization
FAITHBRIDGE FOSTER CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAITHBRIDGE FOSTER CARE, INC
Authorized official
BILL HANCOCK (PRESIDENT)
(678) 690-7102
Entity
Organization
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5501
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5501
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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