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Contact Information

TRINITY PSYCHOLOGICAL SERVICES
9635 VENTANA WAY
SUITE 101
JOHNS CREEK, GA30022-8261
 Phone: 678-366-8862
 Fax: 678-739-0119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRINITY PSYCHOLOGICAL SERVICES

NPI Number 1548411101
LBN Legal business name TRINITY PSYCHOLOGICAL SERVICES
Authorized official ROBERT MONTES - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2008
Last updated 12/30/2014 - About 11 years ago
Identifiers
GA License # 002798
GA License # PSY0002798
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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