| Avant Behavioral Consultants Inc | |
|
1810 Mulkey Rd Ste 202 Austell GA 30106-1150 | |
| (770) 694-6349 | |
| Not Available |
| Full Name | Avant Behavioral Consultants Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1810 Mulkey Rd Ste 202, Austell, Georgia |
| Authorized Official Name and Position | Okah Anyokwu (OWNER) |
| Authorized Official Contact | 5739990193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant Behavioral Consultants Inc 880 Marietta Hwy Ste 630366 Roswell GA 30075-6755 Ph: () - | Avant Behavioral Consultants Inc 1810 Mulkey Rd Ste 202 Austell GA 30106-1150 Ph: (770) 694-6349 |
| NPI Number | 1598250342 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 6709139975 |
|---|---|
| Medicare Enrollment ID | O20181106000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598250342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Okah Justin Anyokwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720242720 PECOS PAC ID: 1052561834 Enrollment ID: I20171009002609 |
| Provider Name | Jennifer Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467811976 PECOS PAC ID: 5294083580 Enrollment ID: I20180802001365 |
| Provider Name | Edith A Arterberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629589916 PECOS PAC ID: 6507194115 Enrollment ID: I20190821000300 |
| Provider Name | Margaret Gaba Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093398620 PECOS PAC ID: 0446638316 Enrollment ID: I20220606000375 |
| Provider Name | Shawn Kade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033866371 PECOS PAC ID: 1153700844 Enrollment ID: I20220627002718 |
| Provider Name | Rosalid Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376292839 PECOS PAC ID: 0042695348 Enrollment ID: I20220922003542 |
| Provider Name | Kishwar Peiris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972363406 PECOS PAC ID: 9133659501 Enrollment ID: I20250214000202 |
| Provider Name | Cicely Kinisha Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578301891 PECOS PAC ID: 3870023120 Enrollment ID: I20250217000352 |
| Provider Name | Kelsey Oakley Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508684374 PECOS PAC ID: 4385164649 Enrollment ID: I20250218001047 |
| Provider Name | Mandee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306690003 PECOS PAC ID: 8527588797 Enrollment ID: I20250219001289 |
| Provider Name | Chris Hoang Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811776461 PECOS PAC ID: 4880114388 Enrollment ID: I20250227002264 |
| Provider Name | Henrietta Rogers-cathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144955840 PECOS PAC ID: 7517333891 Enrollment ID: I20250228000831 |
| Provider Name | Lawrence Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063522464 PECOS PAC ID: 3971798406 Enrollment ID: I20250313003478 |
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