Provider Demographics
NPI:1467874511
Name:PSYCH CONSULTANTS PC
Entity Type:Organization
Organization Name:PSYCH CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLASIMBO
Authorized Official - Middle Name:M
Authorized Official - Last Name:BABATOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-315-1657
Mailing Address - Street 1:427 N BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3003
Mailing Address - Country:US
Mailing Address - Phone:706-410-1202
Mailing Address - Fax:678-412-4160
Practice Address - Street 1:427 N BELAIR RD
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3003
Practice Address - Country:US
Practice Address - Phone:706-410-1202
Practice Address - Fax:678-412-4160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0530892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty