Healthcare Provider Details

I. General information

NPI: 1881371326
Provider Name (Legal Business Name): ACCESS EVALUATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233B DAVIS RD STE F
MARTINEZ GA
30907-2407
US

IV. Provider business mailing address

2304 PEROT DR
HEPHZIBAH GA
30815-6921
US

V. Phone/Fax

Practice location:
  • Phone: 706-955-9873
  • Fax: 706-595-3070
Mailing address:
  • Phone: 706-399-5036
  • Fax: 706-595-3070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BARBARA JENKINS
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D
Phone: 706-399-5036