Organization
GEORGIA PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD POTTS (CEO)
(770) 851-7662
Entity
Organization
Contact information
Practice address
1431 RIVERSIDE PKWY STE A, LAWRENCEVILLE, GA 30043-5996
(770) 851-7662
Mailing address
1431 RIVERSIDE PKWY STE A, LAWRENCEVILLE, GA 30043-5996
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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