Organization
CHL PSYCHOLOGY ASSOCIATES
Active
Organization
CHL PSYCHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE LEAVITT PH.D. (LICENSED PSYCHOLOGIST)
(770) 592-0150
Entity
Organization
Contact information
Practice address
1001 WEATHERSTONE PKWY, SUITE 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Mailing address
1001 WEATHERSTONE PKWY, SUITE 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY003317
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
PSY003317
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502314641A
—
GA
Enumeration date
12/03/2013
Last updated
12/03/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up