Healthcare Provider Details

I. General information

NPI: 1689520561
Provider Name (Legal Business Name): PASCALE PSYCHIATRIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 HUNTINGTON RD STE 200
ATHENS GA
30606-1845
US

IV. Provider business mailing address

485 HUNTINGTON RD STE 200
ATHENS GA
30606-1845
US

V. Phone/Fax

Practice location:
  • Phone: 706-546-8440
  • Fax:
Mailing address:
  • Phone: 706-546-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PASCALE
Title or Position: OWNER
Credential:
Phone: 617-468-6893