P Praxis·MD
● Active Type 2 · Organization

Providence Residential & Outpatient Ptsd Services, Llc

Psychologist·Douglasville, GA· NPI 1215357272 · Enumerated 2014 · 12 years on NPI
Providence Residential & Outpatient Ptsd Services, Llc is 1 of 1487 psychologist organizations in Georgia.
NPI age
12 years
Enumerated 2014-04-17
Primary specialty
Psychologist
Plus 14 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berry-Mitchell
President
Last NPPES update
2014-04-17
Source: monthly bulk 2026-05

How this organization compares

Across 1487 active psychologist providers in Georgia.

NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
14
In the 18% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
6576 Church St
Douglasville, GA 301341884
📞 7705777873fax 7705777871
Mailing address
6576 Church St
Douglasville, GA 301341884
📞 7705777873fax 7705777871

Authorized official

Felicia Berry-Mitchell, PHD
President
📞 7705777873

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #PSY003237 taxonomy 103TC0700X
  • Acupuncturist
    An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or...
    taxonomy 171100000X
  • Case Manager/Care Coordinator
    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
    taxonomy 171M00000X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X
  • Counselor
    Definition to come...
    taxonomy 101YP2500X
  • Dietetic Technician, Registered
    A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who...
    taxonomy 136A00000X
  • Licensed Practical Nurse
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    taxonomy 164W00000X
  • Marriage & Family Therapist
    A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
    taxonomy 106H00000X
  • Nutritionist
    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
    taxonomy 133N00000X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    taxonomy 2084P0800X
  • Registered Nurse
    Definition to come...
    taxonomy 163WP0808X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    taxonomy 104100000X
  • Social Worker
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    taxonomy 1041C0700X
  • Technician
    (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an...
    taxonomy 374700000X

Identifiers

TypeValueNotes
05 (GA) 003132073B

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PROPS
    Type code 3 recorded 2014-04-17

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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