| Northwest Georgia Psychological Services | |
|
406 N Main St La Fayette GA 30728-2424 | |
| (706) 638-2339 | |
| (706) 638-7400 |
| Full Name | Northwest Georgia Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 406 N Main St, La Fayette, Georgia |
| Authorized Official Name and Position | Christine Jo Jennings (OWNER OF P.C.) |
| Authorized Official Contact | 7066382339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Georgia Psychological Services Po Box 1085 La Fayette GA 30728-1085 Ph: (707) 638-2339 | Northwest Georgia Psychological Services 406 N Main St La Fayette GA 30728-2424 Ph: (706) 638-2339 |
| NPI Number | 1205919891 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205919891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1559 (Georgia) | Primary |
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Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-638-5580 | |
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