National Provider Identifier Database

FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
Clinical

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.


Contact Information

FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
1090 FOUNDERS BLVD.
STE B
ATHENS, GA30606
Phone: 706-548-8697
Fax: 706-548-8698
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for FOOTPRINTS PSYCHOLOGICAL SERVICES LLC

NPI Number 1487904454
Legal business name
LBN
FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
Authorized official CAROLYN BARNES - (MANAGER/LICENSED CLINICAL PSYCHOLOG)
Entity Organization
Organization subpart No
Enumeration date 09/17/2012
Last updated 09/17/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PSY003585

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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