Organization
AUSBORN BEHAVIORAL CARE, PC
Active
Organization
AUSBORN BEHAVIORAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENELLA LAZENBY-AUSBORN PSY.D. (VICE PRESIDENT/CHIEF FINANCIAL OFFI)
(770) 938-4616
Entity
Organization
Contact information
Practice address
2295 PARKLAKE DRIVE, N.E., SUITE 545, ATLANTA, GA 30345-2950
(770) 938-4616
(855) 932-4901
Mailing address
2295 PARKLAKE DRIVE, N.E., SUITE 545, ATLANTA, GA 30345-2950
(770) 938-4616
(855) 932-4901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
08/01/2024
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