Organization
AMAZING SHIELD BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANLE BABAJIDE-GBENGA NP (PMHNP-BC)
(470) 616-7503
Entity
Organization
Contact information
Practice address
2330 SCENIC HWY S STE 410, SNELLVILLE, GA 30078-3115
(470) 616-7503
Mailing address
2330 SCENIC HWY S STE 410, SNELLVILLE, GA 30078-3115
(470) 616-7503
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
01/05/2025
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