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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FOOTPRINTS PSYCHOLOGICAL SERVICES LLC

NPI Number 1487904454
LBN Legal business name FOOTPRINTS PSYCHOLOGICAL SERVICES LLC
Authorized official CAROLYN BARNES - (MANAGER/LICENSED CLINICAL PSYCHOLOG)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2012
Last updated 09/17/2012 - About 14 years ago
Identifiers
GA License # PSY003585
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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