Provider Demographics
NPI:1619541588
Name:SOPHRONEO PSYCHIATRY, P.C.
Entity Type:Organization
Organization Name:SOPHRONEO PSYCHIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLAJIDE
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:OPALEYE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:470-593-8652
Mailing Address - Street 1:5200 DALLAS HWY STE 200-134
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6318
Mailing Address - Country:US
Mailing Address - Phone:470-593-8652
Mailing Address - Fax:
Practice Address - Street 1:4170 OLD AUSTELL RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2691
Practice Address - Country:US
Practice Address - Phone:470-593-8652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-16
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty