Providence Residential & Outpatient Ptsd Services, Llc is a Counselor Clinic in Douglasville, Georgia. It is located at 6576 Church St, Douglasville, GA and its contact number is 770-577-7873. The authorized person for Providence Residential & Outpatient Ptsd Services, Llc is Felicia Berry-mitchell
who is President of the clinic and his/her contact number is 770-577-7873. The primary license number for Providence Residential & Outpatient Ptsd Services, Llc is PSY003237 (Clinical) in Georgia. Providence Residential & Outpatient Ptsd Services, Llc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Providence Residential & Outpatient Ptsd Services, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
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:
Felicia Berry-mitchell
Position:
President
Contact Number:
770-577-7873
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 Providence Residential & Outpatient Ptsd Services, Llc clinic are as mentioned below.
NPI Number:
1215357272
NPI Enumeration Date:
17 Apr, 2014
NPI Last Update On:
17 Apr, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Residential & Outpatient Ptsd Services, Llc are as mentioned below.
Specialization
License Number
State
Status
Clinical
PSY003237
Georgia
Primary
Counselor
Secondary
Addiction (Substance Use Disorder)
Secondary
Professional
Secondary
Social Worker
Secondary
Clinical
Secondary
Marriage & Family Therapist
Secondary
Nutritionist
Secondary
Dietetic Technician, Registered
Secondary
Psych/Mental Health
Secondary
Licensed Practical Nurse
Secondary
Acupuncturist
Secondary
Case Manager/care Coordinator
Secondary
Psychiatry
Secondary
Technician
Secondary
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
003132073B
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.
Patients can reach Providence Residential & Outpatient Ptsd Services, Llc at 6576 Church St, Douglasville, Georgia or can call to book an appointment on 770-577-7873. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.