HALLA-BAUER PSYCHOLOGICAL SERVICES CORPORATION


Address: 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130
Phone: 7068850111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY003092 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 874147128A 05

Office Location

Street Address 300 MEDICAL DR
SUITE 705
City LAGRANGE
State GA
Zip Code 30240-4130

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LAGRANGE
Zip Code 30240

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Dataset Information

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.

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