Providence Residential & Outpatient Ptsd Services, LLC
NPI 1215357272 · Clinical Psychologist · Douglasville, GA
Providence Residential & Outpatient Ptsd Services, LLC is a Clinical Psychologist organization in Douglasville, GA (NPI 1215357272).
Provider details
- NPI number
- 1215357272
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Felicia Berry-Mitchell, President(770) 577-7873
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Props
Registry dates
- Enumerated
- 2014-04-17
- Last updated
- 2014-04-17
Frequently asked questions
- What is Providence Residential & Outpatient Ptsd Services, LLC's NPI number?
- Providence Residential & Outpatient Ptsd Services, LLC's National Provider Identifier (NPI) is 1215357272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Residential & Outpatient Ptsd Services, LLC?
- Providence Residential & Outpatient Ptsd Services, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Providence Residential & Outpatient Ptsd Services, LLC located?
- Providence Residential & Outpatient Ptsd Services, LLC's practice location on file with NPPES is 6576 Church St, Douglasville, GA 30134-1884.
- What is Providence Residential & Outpatient Ptsd Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Residential & Outpatient Ptsd Services, LLC is (770) 577-7873.
- Who is the authorized official for Providence Residential & Outpatient Ptsd Services, LLC?
- The authorized official listed on Providence Residential & Outpatient Ptsd Services, LLC's NPPES record is Felicia Berry-Mitchell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Residential & Outpatient Ptsd Services, LLC's NPI active?
- Yes — Providence Residential & Outpatient Ptsd Services, LLC's NPI (1215357272) is active in the NPPES registry as of the last update on 2014-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.