Organization
TRINITY PSYCHOLOGICAL SERVICES
Active
Organization
TRINITY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MONTES PHD (OWNER/OPERATOR)
(678) 366-8862
Entity
Organization
Contact information
Practice address
9635 VENTANA WAY, SUITE 101, JOHNS CREEK, GA 30022-8261
(678) 366-8862
(678) 739-0119
Mailing address
9635 VENTANA WAY, SUITE 101, JOHNS CREEK, GA 30022-8261
(678) 366-8862
(678) 739-0119
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002798
GA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY0002798
GA
103TC0700X
Clinical Psychologist
PSY0002798
GA
103TC1900X
Counseling Psychologist
Primary
PSY0002798
GA
103TF0000X
Family Psychologist
PSY0002798
GA
Other
Enumeration date
10/01/2008
Last updated
12/30/2014
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