Provider Demographics
NPI:1619780392
Name:AUGUSTA PSYCHIATRY AND THERAPY ASSOCIATES, LLC
Entity type:Organization
Organization Name:AUGUSTA PSYCHIATRY AND THERAPY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:P
Authorized Official - Last Name:RINKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-831-7824
Mailing Address - Street 1:762 OXFORD RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-3248
Mailing Address - Country:US
Mailing Address - Phone:706-831-7824
Mailing Address - Fax:
Practice Address - Street 1:3665 WHEELER RD STE 1A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6596
Practice Address - Country:US
Practice Address - Phone:706-825-4691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty