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

Blue Ridge Psychological Services, LLC

Organization Clinical Psychologist · NPI 1750524781

Blue Ridge Psychological Services, LLC is a Clinical Psychologist in Blue Ridge, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
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

9757 Blue Ridge Dr
Blue Ridge, GA 30513-4167
Phone: (706) 455-2490
Fax: (706) 946-6574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY003039 (GA)

Record details

NPI number1750524781
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Raque — Registered Agent/Owner · (706) 455-2490
NPI enumeratedApril 6, 2009
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address9757 Blue Ridge Dr, Blue Ridge, GA 30513-4167

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