OrganizationActive
Populations and Interventions Team Company
NPI 1730608522 · Health Psychologist · Douglasville, GA
Provider details
- NPI number
- 1730608522
- Entity type
- Organization
- Primary specialty
- Health PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mercedes Williams, Ceo/Owner(678) 310-9707
- License
- 28315 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Practice location
3182 Berthas Overlook
Douglasville, GA 30135-8458
Phone: (678) 310-9707
Fax: (470) 875-0083
Approximate (ZIP-level) locationGet directions
Mailing address
3182 Berthas Overlook
Douglasville, GA 30135-8458
Registry dates
- Enumerated
- 2017-09-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.