Organization
UNITED PSYCHOLOGY CENTER, LLC
Active
Other names
NORTHEAST GEORGIA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA LUE (CFO)
(770) 939-1288
Entity
Organization
Contact information
Practice address
166 COMMERCE PKWY UNIT A, CORNELIA, GA 30531-5473
(404) 806-4524
(770) 212-2203
Mailing address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/02/2021
Last updated
07/27/2022
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