Healthcare Provider Details

I. General information

NPI: 1679425656
Provider Name (Legal Business Name): SEE CHUNG MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1862 AUBURN RD STE 118
DACULA GA
30019-1618
US

IV. Provider business mailing address

1862 AUBURN RD STE 118
DACULA GA
30019-1618
US

V. Phone/Fax

Practice location:
  • Phone: 310-321-8089
  • 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: SEE WON CHUNG
Title or Position: OWNER
Credential: PMHNP
Phone: 310-321-8089