Business Owner

LBN: Southside Psychiatric Consultants Llc
Business Owner is an health care organization with primary practice located at 6572 River Park Dr Ste 101G , Riverdale GA 30274-2214. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Southside Psychiatric Consultants Llc can be contacted via phone (404) 734-4445, or through Ogwotu, Ralph via phone (404) 734-4445.

Contact Information

Primary practice address
6572 River Park Dr Ste 101G Riverdale GA 30274-2214
Phone: (404) 734-4445
Fax: (404) 745-0552
Website:
Map and Directions
Authorized official contact:
Name: Ogwotu, Ralph Nurse Practitioner (NP)
Phone: (404) 734-4445

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1902670490
LBN Legal business name Southside Psychiatric Consultants Llc
DBA Doing business as Business Owner
Authorized official Ogwotu, Ralph Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2023
Last updated Jul 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers