What is JEFFERSON PSYCHOLOGICAL SOLUTIONS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1447579925, enumerated as a organization on May 24, 2010.

Where is the provider located?

The provider is located at 3400 CHAPEL HILL RD SUITE 212 DOUGLASVILLE, GA 30135 and the phone number is (678) 741-5310.

What is the provider's specialty?

The provider's specialty is Community/Behavioral Health with taxonomy code 251S00000X.

JEFFERSON PSYCHOLOGICAL SOLUTIONS, LLC - NPI 1447579925 - Community/Behavioral Health in Douglasville, GA

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About Jefferson Psychological Solutions, Llc NPPES

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

JEFFERSON PSYCHOLOGICAL SOLUTIONS, LLC (NPI 1447579925) is a healthcare organization registered as a community/behavioral health in Douglasville, Georgia and active in the NPI registry since May 2010. The organization lists Nina N Jefferson, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1447579925

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameJEFFERSON PSYCHOLOGICAL SOLUTIONS, LLC

Location Address3400 CHAPEL HILL RD, SUITE 212Douglasville, GA 30135-1739

Mailing Address3400 Chapel Hill Rd, Suite 212Douglasville, GA 30135-1739 · (678) 741-5310 · Fax (678) 298-9899

Phone(678) 741-5310

Fax(678) 298-9899

Organization SubpartNo

Authorized OfficialNina N JeffersonLicensed Psychologist · (678) 741-5310

Enumeration DateMay 24, 2010

✔ NPI 1447579925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in GA · PSY003323

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3400 CHAPEL HILL RD, Douglasville, GA 30135

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