Healthcare Provider Details

I. General information

NPI: 1851202618
Provider Name (Legal Business Name): H.I.V.E. PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E HOWARD AVE
DECATUR GA
30030-3345
US

IV. Provider business mailing address

3343 PEACHTREE RD NE STE 145
ATLANTA GA
30326-1427
US

V. Phone/Fax

Practice location:
  • Phone: 404-482-3182
  • Fax:
Mailing address:
  • Phone: 508-922-4177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BRYANNA BAPTISTE
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 508-922-4177