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General NPI Number Information
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NPI Number | 1225126089
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY SERVICES MANAGEMENT, INC.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2900 CAMP CREEK PKWY K-1
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City | COLLEGE PARK
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State | GA
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Zip | 30337-3000
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Country | US
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Telephone | 404-254-5272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1342
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City | ATLANTA
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State | GA
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Zip | 30301-1342
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Country | US
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Telephone | 404-254-5272
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Fax |
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Authorized Official
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Title or Position | COO
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Name | BRANDON RASHIED SANDS
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Credential |
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Telephone | 404-396-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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