| Sage Psychological Consulting | |
|
4062 Peachtree Rd Ne Ste 190a Brookhaven GA 30319-3021 | |
| (404) 317-2283 | |
| Not Available |
| Full Name | Sage Psychological Consulting |
|---|---|
| Speciality | Pediatrics - Neurodevelopmental Disabilities |
| Location | 4062 Peachtree Rd Ne Ste 190a, Brookhaven, Georgia |
| Authorized Official Name and Position | Triphinia Margaret Wallace (PSYCHOLOGIST) |
| Authorized Official Contact | 4043172283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Psychological Consulting 4062 Peachtree Rd Ne # 190a Brookhaven GA 30319-3021 Ph: (404) 317-2283 | Sage Psychological Consulting 4062 Peachtree Rd Ne Ste 190a Brookhaven GA 30319-3021 Ph: (404) 317-2283 |
| NPI Number | 1235866120 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 01/28/2026 |
| Certification Date | 01/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235866120 | NPI | - | NPPES |
| 003222721A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Secondary |
| 2080P0008X | Pediatrics - Neurodevelopmental Disabilities | () | Primary |
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