Organization
GENED PSYCH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERCY JENKINS JR. ED.D (CHIEF EXECUTIVE OFFICER)
(404) 807-4697
Entity
Organization
Contact information
Practice address
296 CARRIAGE OAKS DR, TYRONE, GA 30290-1521
(404) 807-4697
Mailing address
1029 N PEACHTREE PKWY STE 212, PEACHTREE CITY, GA 30269-4210
(404) 807-4697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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