LGD Psychological Services

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

CSW002671 Issued in GA

Legal business name

LGD PSYCHOLOGICAL SERVICES

Practice address

5438 Redwood CT
Stone Mountain, GA 30087-5758

Phone

(770) 469-6794

Fax

(770) 469-6794

NPI assigned

Jan 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Linda Gail Dennard, LCSWNPI 1932240389

Title

President

Phone

(770) 469-6794

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda G Dennard, LCSW

  • Clinical Social Worker
  • Stone Mountain, GA
  • NPI 1932240389
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1881924892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 REDWOOD CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875758",
            "telephone_number": "770-469-6794",
            "fax_number": "770-469-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 REDWOOD CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875758",
            "telephone_number": "770-469-6794",
            "fax_number": "770-469-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DENNARD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-469-6794",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "CSW002671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matesha Lemon
• Juanita M. J. Lesesne
• Edward K Lewis
• Goldie Lewis
• Hope Lewis
• Liagiba, Inc
• Life Speaks Motivational Management Group LLC
• Lifeline Medical Center, LLC
• Lifeline Primary Care, Inc
• Ma Liza Acaso Limoran

• Adult Care Home Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.