Organization
GRAVES PSYCHOLOGICAL SERVICES
Active
Organization
GRAVES PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTSERRAT MITCHELL GRAVES (MANAGER)
(229) 221-3442
Entity
Organization
Contact information
Practice address
319 N STEVENS ST, THOMASVILLE, GA 31792-5464
(229) 221-3442
(855) 560-7664
Mailing address
PO BOX 231, THOMASVILLE, GA 31799-0231
(229) 221-3442
(855) 560-7664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110133C
—
GA
Enumeration date
03/04/2021
Last updated
03/30/2021
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