Organization
SOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC
Active
Other names
Theodora Soublis, PHD
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORA SOUBLIS PHD (DIRECTOR)
(770) 362-4815
Entity
Organization
Contact information
Practice address
1003 BOMBAY LN, ROSWELL, GA 30076-5820
(678) 782-2560
(678) 782-2560
Mailing address
1003 BOMBAY LN, ROSWELL, GA 30076-5820
(678) 782-2560
(678) 782-2560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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