Healthcare Provider Details

I. General information

NPI: 1427973858
Provider Name (Legal Business Name): INCEPT BEHAVIORAL HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 PARKLAKE DR NE STE 585
ATLANTA GA
30345-2973
US

IV. Provider business mailing address

991 CHADWICK PARK DR
LAWRENCEVILLE GA
30045-8229
US

V. Phone/Fax

Practice location:
  • Phone: 678-733-4464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ODIONIKHERE AGBI
Title or Position: CEO
Credential:
Phone: 678-733-4464