FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
NPI 1487904454
Psychologist - Clinical in Athens, GA

Active since September 17, 2012
1090 FOUNDERS BLVD., STE B, ATHENS, GA 30606(706) 548-8697(706) 548-8698 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Footprints Psychological Services Llc NPPES

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

FOOTPRINTS PSYCHOLOGICAL SERVICES LLC (NPI 1487904454) is a healthcare organization registered as a clinical in Athens, Georgia and active in the NPI registry since September 2012. The organization lists Carolyn Patricia Barnes, Manager/licensed Clinical Psycholog, as its authorized official.

NPPES Registry Identity

NPI1487904454
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameFOOTPRINTS PSYCHOLOGICAL SERVICES LLC
Location Address1090 FOUNDERS BLVD., STE BAthens, GA 30606
Mailing Address1090 Founders Blvd., Ste BAthens, GA 30606 · (706) 548-8697 · Fax (706) 548-8698
Fax(706) 548-8698
Organization SubpartNo
Authorized OfficialCarolyn Patricia BarnesManager/licensed Clinical Psycholog · (706) 548-8697
Enumeration DateSeptember 17, 2012
NPI 1487904454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY003585
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.
1090 FOUNDERS BLVD., Athens, GA 30606

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Footprints Psychological Services LLC's NPI number?

The NPI number for Footprints Psychological Services LLC is 1487904454. It was assigned to this organization in the NPPES registry on September 17, 2012.

Where is Footprints Psychological Services LLC located?

Footprints Psychological Services LLC is located at 1090 Founders Blvd. Ste B, Athens, GA 30606. The listed phone number is (706) 548-8697.

What is Footprints Psychological 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 Footprints Psychological Services LLC was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.