Organization
PEACH SEED HEALTHCARE
Active
Other names
MBH HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA NICOLE THOMAS (PRACTICE OWNER)
(470) 531-2580
Entity
Organization
Contact information
Practice address
1635 OLD 41 HWY NW STE 141, KENNESAW, GA 30152-4480
(678) 400-5051
Mailing address
3455 PEACHTREE RD NE STE 500, ATLANTA, GA 30326-3236
(470) 531-2580
(470) 531-2580
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/05/2020
Last updated
12/08/2023
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