Palm Tree Psychological

NPI 1205238078 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1205238078
Enumeration Date 09/23/2014
Last Updated 09/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SALLY SALLY
Position COUNSELOR
Phone (229) 426-0002
Fax
Practice Location
410 S SHERMAN ST
FITZGERALD GA, 31750-3352, US
Phone (229) 426-0002
Fax
Business Location
410 S SHERMAN ST
FITZGERALD GA, 31750-3352, US
Phone
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Palm Tree Psychological NPI is 1205238078, taxonomy code is 251S00000X Palm Tree Psychological physically located at 410 S Sherman St, Fitzgerald GA, 31750-3352. NPI Number 1033115704 has the healthcare provider type.

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1205238078 NPI number is provided on an as is basis without warranty of any kind. 1205238078 is maintained by the National Plan & Provider Enumeration System. The contents of Palm Tree Psychological are for informational purposes only.