Healthcare Provider Details

I. General information

NPI: 1295277028
Provider Name (Legal Business Name): GEORGIA ACT AND HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2049 METROPOLITAN PKWY SW
ATLANTA GA
30315-5926
US

IV. Provider business mailing address

2049 METROPOLITAN PKWY SW
ATLANTA GA
30315-5926
US

V. Phone/Fax

Practice location:
  • Phone: 770-329-7339
  • Fax:
Mailing address:
  • Phone: 770-329-7339
  • Fax: 404-963-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number204864
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NGOZI ORABUEZE
Title or Position: ADMINISTRATOR
Credential: PMHNP-BC. NP-C
Phone: 770-329-7339