HALLA-BAUER PSYCHOLOGICAL SERVICES CORPORATION (NPI# 1619110921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619110921 |
Entity Type | Organization |
Organization Name | HALLA-BAUER PSYCHOLOGICAL SERVICES CORPORATION |
Practice Address |
300 Medical Dr Suite 705 Lagrange GA 30240-4130 |
Practice Telephone | 7068850111 |
Practice Fax Number | 7068850607 |
Mailing Telephone | 7068850111 |
Mailing Fax Number | 7068850607 |
Enumeration Date | 2009-04-16 |
Last Update Date | 2009-04-16 |
Authorized Official Name | HEIDI ANN HALLA-BAUER (PSYCHOLOGIST/OWNER) |
Authorized Official Telephone | 7068850111 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003092 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 874147128A | 05 |
Street Address |
300 MEDICAL DR SUITE 705 |
City | LAGRANGE |
State | GA |
Zip Code | 30240-4130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508868704 | Anil R Modi | Internal Medicine | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2005-06-01 |
1952602823 | Jasmine Naheed, Mdpc, LLC | Psychiatry & Neurology | 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 | 2010-11-09 |
1932409224 | Lagrange Neurology Corporation | Durable Medical Equipment & Medical Supplies | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2010-11-02 |
1538302864 | Psy-visions of Ga, LLC | Psychiatry & Neurology | 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 | 2009-04-16 |
1598906315 | Susan L Marshall | Counselor | 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 | 2009-03-09 |
1578709580 | Barbara A Phillips | Counselor | 300 Medical Dr, Ste 705, Lagrange, GA 30240-4130 | 2008-12-22 |
1205072402 | Anntoinette Briley | Counselor | 300 Medical Dr, Ste 705, Lagrange, GA 30240-4130 | 2008-12-18 |
1104002799 | Medical Care of Lagrange, LLC | Internal Medicine | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2008-01-14 |
1427233147 | Laura D Byard | Counselor | 300 Medical Dr, Ste 705, Lagrange, GA 30240-4130 | 2007-12-31 |
1316128457 | Peter Ping Lee Md PC | Psychiatry & Neurology | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2007-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
Find all providers in zip 30240 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043397474 | Jeremy Sean Mckay | Psychologist | 516 Ridley Ave, Lagrange, GA 30240-2234 | 2006-11-01 |
1790197804 | Counseling Services of Lagrange, Inc. | Psychologist | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2014-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.