Healthcare Provider Details

I. General information

NPI: 1760396139
Provider Name (Legal Business Name): SYNAPTIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 JANJOLIN DR
CONLEY GA
30288-1309
US

IV. Provider business mailing address

4205 JANJOLIN DR
CONLEY GA
30288-1309
US

V. Phone/Fax

Practice location:
  • Phone: 404-667-6880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: FREMETIA KAYE ANDERSON
Title or Position: OWNER
Credential: LPC
Phone: 404-667-6880