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Contact Information

DMHG PSYCHOLOGICAL SERVICES LLC
1775 PARKER ROAD SUITE 210
CONYERS, GA30094
 Phone: 478-284-3985
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DMHG PSYCHOLOGICAL SERVICES LLC

NPI Number 1396580163
LBN Legal business name DMHG PSYCHOLOGICAL SERVICES LLC
Authorized official MARY DECRUISE-OATES - (CLINICAL PSYCHOLOGIST / OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2024
Last updated 03/23/2026 - About 2 months 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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