| Populations And Interventions Team Company (pitc) | |
|
3182 Berthas Overlook Douglasville GA 30135-8458 | |
| (678) 310-9707 | |
| (470) 875-0083 |
| Full Name | Populations And Interventions Team Company (pitc) |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 3182 Berthas Overlook, Douglasville, Georgia |
| Authorized Official Name and Position | Mercedes Merritt Williams (CEO/OWNER) |
| Authorized Official Contact | 6783109707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Populations And Interventions Team Company (pitc) 3182 Berthas Overlook Douglasville GA 30135-8458 Ph: (678) 310-9707 | Populations And Interventions Team Company (pitc) 3182 Berthas Overlook Douglasville GA 30135-8458 Ph: (678) 310-9707 |
| NPI Number | 1992224869 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992224869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 28315 (Indiana) | Primary |
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