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Contact Information

FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC
2655 NORTHWINDS PKWY
ALPHARETTA, GA30009-2280
 Phone: 770-643-5501
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC

NPI Number 1073935854
LBN Legal business name FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC
Authorized official BILL HANCOCK - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/13/2014
Last updated 01/13/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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