Provider Demographics
NPI:1639534290
Name:ORMSBY HEALTHCARE, LLC
Entity type:Organization
Organization Name:ORMSBY HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PICART
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-559-9908
Mailing Address - Street 1:2483 HERITAGE VLG
Mailing Address - Street 2:STE #16-335
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6140
Mailing Address - Country:US
Mailing Address - Phone:770-559-9908
Mailing Address - Fax:404-720-9600
Practice Address - Street 1:6624 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30071-1727
Practice Address - Country:US
Practice Address - Phone:770-559-9908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW00004355251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health