Organization
PASCALE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PASCALE (PSYCHIATRIC NURSE PRACTITIONER)
(617) 468-6893
Entity
Organization
Contact information
Practice address
485 HUNTINGTON RD STE 199-202, ATHENS, GA 30606-1861
(617) 468-6893
Mailing address
2407 BROOKSIDE CIR, STATHAM, GA 30666-3526
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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