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

Psych Practice LLC

Organization Community/Behavioral Health Agency · NPI 1689060790

Psych Practice LLC is a Community/Behavioral Health Agency in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
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

410 Shirley Ave
Douglas, GA 31533-2002
Phone: (912) 260-1206
Fax: (912) 383-7820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 054327 (GA)

Record details

NPI number1689060790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mubbashir Khan — Ceo/ M.D · (912) 260-1206
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015
Mailing address410 Shirley Ave, Douglas, GA 31533-2002

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