P Praxis·MD
● Active Type 2 · Organization

Angel Lopez Clinic, Inc.

Psychologist·Duluth, GA· NPI 1972777654 · Enumerated 2008 · 18 years on NPI
Angel Lopez Clinic, Inc. is 1 of 1487 psychologist organizations in Georgia.
NPI age
18 years
Enumerated 2008-04-14
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boucchechter
Owner/president
Last NPPES update
2021-02-19
Source: monthly bulk 2026-05

How this organization compares

Across 1487 active psychologist providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2250 Satellite Blvd, Suite 175
Duluth, GA 30097
📞 7702320555fax 7702320640
Mailing address
2250 Satellite Blvd, Suite 175
Duluth, GA 30097
📞 7702320555fax 7702320640

Authorized official

Sara Boucchechter
Owner/president
📞 7702320555

Individual providers at this organization

2 individual providers on file at this primary practice address.

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...
    taxonomy 103TC0700X

Identifiers

TypeValueNotes
05 (GA) 018244591B

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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