NPI 1174756464

Simply Queens INC

Organisation Community/Behavioral Health Agency Lithonia, GA

Practice location

Address: 6974 Main St, Lithonia, GA 30058-4427
Phone: (678) 395-3250
Fax: (678) 395-3252

Authorised official

Name: Andrea Bishop Marbary
Title: Psychologist
Phone: (678) 395-3250

Registered specialties (3)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence PSY-001519 (GA)

Other Community/Behavioral Health providers in Georgia →

Case Management Agency

Agencies Taxonomy 251B00000X Licence PSY-001519 (GA)

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Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence PSY-001519 (GA)

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Registry record

NPI: 1174756464
Entity type: Organization
NPI issued: 2 Sep 2009
Record last updated: 2 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.