Healthcare Provider Details

I. General information

NPI: 1871401455
Provider Name (Legal Business Name): FORWARD PATH PSYCHIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 PYTHON DRIVE
ATLANTA GA
30349
US

IV. Provider business mailing address

813 PYTHON DR
ATLANTA GA
30349-7651
US

V. Phone/Fax

Practice location:
  • Phone: 404-483-5686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. DARIN WILLIAMS
Title or Position: PMHNP
Credential: NP
Phone: 404-483-5686