PROPS
NPI 1215357272
Psychologist - Clinical in Douglasville, GA

Q: What is Providence Residential & Outpatient Ptsd Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 17, 2014

6576 CHURCH ST, DOUGLASVILLE, GA 30134(770) 577-7873(770) 577-7871 Get Directions Write a Review

NPPES record last updated: April 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Props NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROPS (NPI 1215357272) is a healthcare organization registered as a clinical in Douglasville, Georgia and active in the NPI registry since April 2014. The organization lists Felicia Berry-mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1215357272

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES, LLC

Location Address6576 CHURCH STDouglasville, GA 30134-1884

Mailing Address6576 Church StDouglasville, GA 30134-1884 · (770) 577-7873 · Fax (770) 577-7871

Phone(770) 577-7873

Fax(770) 577-7871

Organization SubpartNo

Authorized OfficialFelicia Berry-mitchellPresident · (770) 577-7873

Enumeration DateApril 17, 2014

✔ NPI 1215357272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003237

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedDietetic Technician, RegisteredTaxonomy 136A00000X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedLicensed Practical NurseTaxonomy 164W00000X

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedTechnicianTaxonomy 374700000X

6576 CHURCH ST, Douglasville, GA 30134

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Other Names 1

Doing Business AsProps

Other Identifiers 2

Medicaid003132073BGA

Medicare UPIN2021689608GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Residential & Outpatient Ptsd Services, LLC's NPI number?

The NPI number for Providence Residential & Outpatient Ptsd Services, LLC is 1215357272. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Props.

Where is Providence Residential & Outpatient Ptsd Services, LLC located?

Providence Residential & Outpatient Ptsd Services, LLC is located at 6576 Church St, Douglasville, GA 30134. The listed phone number is (770) 577-7873.

What is Providence Residential & Outpatient Ptsd Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Providence Residential & Outpatient Ptsd Services, LLC was last updated on April 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.