Sullivan Psychiatric Svcs Llc is a Psychiatry | Child & Adolescent Clinic in Stone Mountain, Georgia. It is located at 425 Allgood Rd, Stone Mountain, GA and its contact number is 404-508-3822. The authorized person for Sullivan Psychiatric Svcs Llc is Raina Sullivan
who is Owner of the clinic and his/her contact number is 404-508-3822. The primary license number for Sullivan Psychiatric Svcs Llc is 047162 (Child & Adolescent Psychiatry) in Georgia. Sullivan Psychiatric Svcs Llc Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Sullivan Psychiatric Svcs Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Sullivan Psychiatric Svcs Llc
Specialization:
Child & Adolescent
Clinic Address:
425 Allgood Rd, Stone Mountain, Georgia, 30083-6145
Phone:
404-508-3822
Fax:
404-508-3823
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Raina Sullivan
Position:
Owner
Contact Number:
404-508-3822
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Sullivan Psychiatric Svcs Llc clinic are as mentioned below.
NPI Number:
1164756839
NPI Enumeration Date:
28 Sep, 2009
NPI Last Update On:
28 Sep, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sullivan Psychiatric Svcs Llc are as mentioned below.
Specialization
License Number
State
Status
Child & Adolescent Psychiatry
047162
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
343324511A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Sullivan Psychiatric Svcs Llc 425 Allgood Rd, Stone Mountain, Georgia
Zip:
30083-6145
Phone Number:
404-508-3822
Fax Number:
404-508-3823
Patients can reach Sullivan Psychiatric Svcs Llc at 425 Allgood Rd, Stone Mountain, Georgia or can call to book an appointment on 404-508-3822. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.