Provider Demographics
NPI:1689773160
Name:ASSOCIATED PSYCHOLOGICAL SERVICES,INC
Entity Type:Organization
Organization Name:ASSOCIATED PSYCHOLOGICAL SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JOANNA
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:706-937-5180
Mailing Address - Street 1:P.O.BOX 700
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736
Mailing Address - Country:US
Mailing Address - Phone:706-937-5180
Mailing Address - Fax:706-937-5183
Practice Address - Street 1:479 COTTER ST.
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736
Practice Address - Country:US
Practice Address - Phone:706-937-5180
Practice Address - Fax:706-937-5183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001364103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52264390OtherBLUECROSS BLUESHIELD GA.