Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ascension Psychiatric Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1720748262

Ascension Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Phillips Dr
Fayetteville, GA 30214-4375
Phone: (310) 809-6033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1720748262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Hall — Ceo · (310) 890-6033
NPI enumeratedDecember 25, 2021
Last updated in NPPESDecember 25, 2021
Certification dateDecember 25, 2021
Mailing address330 Phillips Dr, Fayetteville, GA 30214-4375

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