Organization
PSYCHOLOGICAL CONSULTANTS OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE COSTELLO DO (PRESIDENT)
(404) 936-2346
Entity
Organization
Contact information
Practice address
5284 FLOYD RD SW UNIT 1216, MABLETON, GA 30126-6109
(404) 936-2346
Mailing address
5284 FLOYD RD SW UNIT 1216, MABLETON, GA 30126-6109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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