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ANGEL LOPEZ CLINIC, INC.
NPI 1972777654
Psychologist - Clinical in Duluth, GA

Active since April 14, 2008
2250 SATELLITE BLVD, SUITE 175, DULUTH, GA 30097(770) 232-0555(770) 232-0640 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel Lopez Clinic, Inc. NPPES

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

ANGEL LOPEZ CLINIC, INC. (NPI 1972777654) is a healthcare organization registered as a clinical in Duluth, Georgia and active in the NPI registry since April 2008. The organization lists Sara Boucchechter, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1972777654
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameANGEL LOPEZ CLINIC, INC.
Location Address2250 SATELLITE BLVD, SUITE 175Duluth, GA 30097
Mailing Address2250 Satellite Blvd, Suite 175Duluth, GA 30097 · (770) 232-0555 · Fax (770) 232-0640
Phone(770) 232-0555
Fax(770) 232-0640
Organization SubpartNo
Authorized OfficialSara BoucchechterOwner/president · (770) 232-0555
Enumeration DateApril 14, 2008
Last NPPES UpdateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1972777654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
2250 SATELLITE BLVD, Duluth, GA 30097
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Other Identifiers 1

Medicaid018244591BGA

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANNA TREATMENT CENTER, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2250 SATELLITE BLVD, SUITE # 115
DULUTH, GA 30097
Gwinnett County (678) 495-9775
DR. MARNITA FLOYD PH.D.
Psychologist (Clinical)
2250 SATELLITE BLVD, SUITE #175
DULUTH, GA 30097
Gwinnett County (404) 276-9389
MRS. VICKIE L GEORGE
Marriage & Family Therapist
2250 SATELLITE BLVD, SUITE 230
DULUTH, GA 30097
Gwinnett County (770) 813-8181
ALLIANCE FOR CHANGE
Psychologist
2250 SATELLITE BLVD, SUITE 230
DULUTH, GA 30097
Gwinnett County (770) 813-1544

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 Angel Lopez Clinic, Inc.'s NPI number?

The NPI number for Angel Lopez Clinic, Inc. is 1972777654. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Angel Lopez Clinic, Inc. located?

Angel Lopez Clinic, Inc. is located at 2250 Satellite Blvd Suite 175, Duluth, GA 30097. The listed phone number is (770) 232-0555.

What is Angel Lopez Clinic, Inc.'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 Angel Lopez Clinic, Inc. was last updated on February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.