Provider Demographics
NPI:1518623057
Name:WHG PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:WHG PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH-GAINER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-423-9637
Mailing Address - Street 1:1864 INDEPENDENCE SQ STE A
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5160
Mailing Address - Country:US
Mailing Address - Phone:404-423-9637
Mailing Address - Fax:770-668-0417
Practice Address - Street 1:1864 INDEPENDENCE SQ STE A
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5160
Practice Address - Country:US
Practice Address - Phone:404-423-9637
Practice Address - Fax:770-668-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)