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 provides Clinical Psychologist services 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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