Provider Demographics
NPI:1225126089
Name:PSYCHOTHERAPY SERVICES MANAGEMENT, INC.
Entity Type:Organization
Organization Name:PSYCHOTHERAPY SERVICES MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:RASHIED
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-396-2160
Mailing Address - Street 1:PO BOX 1342
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30301-1342
Mailing Address - Country:US
Mailing Address - Phone:404-254-5272
Mailing Address - Fax:
Practice Address - Street 1:2900 CAMP CREEK PKWY
Practice Address - Street 2:K-1
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-3000
Practice Address - Country:US
Practice Address - Phone:404-254-5272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty