| Abundant Life Psychiatric Services, LLC | |
|
621 Highway 441 S Ste 2 Clayton GA 30525-5435 | |
| (706) 613-4485 | |
| (762) 212-4368 |
| Full Name | Abundant Life Psychiatric Services, LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 621 Highway 441 S Ste 2, Clayton, Georgia |
| Authorized Official Name and Position | Deborah Racadag (OFFICE MANAGER/CO-OWNER) |
| Authorized Official Contact | 7066134485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Psychiatric Services, LLC 621 Hwy 441 South Unit 2 Clayton GA 30525-0030 Ph: (706) 613-4485 | Abundant Life Psychiatric Services, LLC 621 Highway 441 S Ste 2 Clayton GA 30525-5435 Ph: (706) 613-4485 |
| NPI Number | 1245919430 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 09/02/2026 |
| Certification Date | 09/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245919430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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