Organization
SOUTHEAST PSYCH SERVICES LLC
Active
Other names
Integrated Psych Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL THAKORE (PRESIDENT)
(706) 267-7681
Entity
Organization
Contact information
Practice address
561 FIELDCREST DR, THE VILLAGES, FL 32162-4600
(523) 097-4653
(855) 264-6670
Mailing address
1265 INTERSTATE PKWY STE B, AUGUSTA, GA 30909-6481
(706) 204-1366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/03/2021
Last updated
04/02/2026
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