Organization
CAMINO PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEYSA FLORES PHD (OWNER)
(678) 845-8596
Entity
Organization
Contact information
Practice address
2450 ATLANTA HWY STE 1903, CUMMING, GA 30040-1237
(678) 845-8596
(678) 802-6985
Mailing address
2450 ATLANTA HWY STE 1903, CUMMING, GA 30040-1237
(678) 845-8596
(678) 802-6985
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
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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