Mishaw, Audrey
Mishaw, Audrey is an individual health care provider with primary practice located at 5635 Peachtree Pkwy Ste 180 , Norcross GA 30092-2823. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mishaw, Audrey can be contacted via phone (470) 938-6670.Contact Information
Primary practice address
5635 Peachtree Pkwy Ste 180
Norcross GA 30092-2823
Phone: (470) 938-6670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC009812 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 004297 | Georgia |
Profile Details
| NPI number | 1184133639 |
|---|---|
| LBN Legal business name | Mishaw, Audrey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2017 |
| Last updated | Sep 22nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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