Reddick, Consuelo
Reddick, Consuelo is an individual health care provider with primary practice located at 300 Colonial Center Pkwy Ste 100 , Roswell GA 30076-4892. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Reddick, Consuelo can be contacted via phone (470) 670-6319.Contact Information
Primary practice address
300 Colonial Center Pkwy Ste 100
Roswell GA 30076-4892
Phone: (470) 670-6319
Fax: (888) 815-3583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 61047950 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 89249 | Montana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G133049 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD199050 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 61047950 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 044067 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 044067 | Georgia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 89249 | Montana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD199050 | Oregon |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | G133049 | California |
Profile Details
| NPI number | 1437214350 |
|---|---|
| LBN Legal business name | Reddick, Consuelo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Feb 2nd, 2026 - about 9 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437214350 | NPPES |
| Georgia | MEDICAID | 00024706 |
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