Provider Demographics
NPI:1780405100
Name:NEXT STEP PSYCHIATRY LLC
Entity type:Organization
Organization Name:NEXT STEP PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FATHIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:678-755-0756
Mailing Address - Street 1:355 AUTUMN BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7432
Mailing Address - Country:US
Mailing Address - Phone:678-755-0756
Mailing Address - Fax:
Practice Address - Street 1:4652 LAWRENCEVILLE HWY NW STE 104
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3623
Practice Address - Country:US
Practice Address - Phone:678-437-1659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty