| Avant Behavioral Consultants Inc | |
|
2225 Heathermoor Hill Dr Marietta GA 30062-6502 | |
| (573) 999-0193 | |
| Not Available |
| Full Name | Avant Behavioral Consultants Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2225 Heathermoor Hill Dr, Marietta, 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 2225 Heathermoor Hill Dr Marietta GA 30062-6502 Ph: () - | Avant Behavioral Consultants Inc 2225 Heathermoor Hill Dr Marietta GA 30062-6502 Ph: (573) 999-0193 |
| NPI Number | 1598250342 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| 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 |
|---|---|
| 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 |
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