NPI 1790207181

Joseph Osondu, CEO

Practitioner Community/Behavioral Health Agency Lithia Springs, GA

Practice location

Address: 1206 Silver Moon Trl, Lithia Springs, GA 30122
Phone: (404) 259-9737
Mailing address: 1206 Silver Moon Trl, Lithia Springs, GA 30122-3969

Registered specialties (4)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 0033324A (GA)

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 0033324A (GA)

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Child & Adolescent Psychiatric/Mental Health Registered Nurse

Nursing Service Providers Taxonomy 163WP0807X Licence 0033324A (GA)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X Licence 0033324A (GA)

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Registry record

NPI: 1790207181
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2017
Record last updated: 21 Jul 2022

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.