# ON TRACK PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154138089
- **Authorized official:** TONDALAYA SANFORD (OWNER)
- **Authorized official phone:** (513) 200-8001

## Contact information

- **Practice address:** 1870 THE EXCHANGE SE, STE 200 \#1299, ATLANTA, GA 30339
- **Practice address phone:** (678) 643-2072
- **Mailing address:** 3119 FONSECA PASS, ATLANTA, GA 30349-8140
- **Mailing address phone:** (678) 643-2072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2024
- **Last updated:** 09/02/2025