Organization
SAGE PSYCHOLOGICAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRIPHINIA MARGARET WALLACE PHD. (CEO/OWNER)
(404) 317-2283
Entity
Organization
Contact information
Practice address
1718 PEACHTREE ST NW, SUITE 481, ATLANTA, GA 30309-2452
(404) 317-2283
(404) 393-6692
Mailing address
4556 PARKVIEW SQ, ATLANTA, GA 30349-9408
(404) 317-2283
(404) 393-6692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
003723
GA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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