Abby Behavioral Health And Psychotherapy INC
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry in Snellville, GA. Organization (NPI-2).
NPI number1750061206
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1750061206
- Entity type
- Organization (NPI-2)
- Legal business name
- Abby Behavioral Health And Psychotherapy INC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2023
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Abby Behavioral Health (Doing Business As)
Practice location
2121 Fountain Dr Ste DSnellville, GA 30078-2900
Phone 470-435-5341
Mailing address
2121 Fountain Dr Ste DSnellville, GA 30078-2900
Phone 470-435-5341
Authorized official
Olufunmilayo Temitope Ajala
Nurse Practitioner
4704355341
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