Healthcare Provider Details

I. General information

NPI: 1780405100
Provider Name (Legal Business Name): NEXT STEP PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 LAWRENCEVILLE HWY NW STE 100
LILBURN GA
30047-2807
US

IV. Provider business mailing address

4145 LAWRENCEVILLE HWY NW STE 100
LILBURN GA
30047-2807
US

V. Phone/Fax

Practice location:
  • Phone: 678-437-1659
  • Fax: 678-437-1340
Mailing address:
  • Phone: 678-437-1659
  • Fax: 678-437-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MORIUM CHOWDHURY
Title or Position: OWNER
Credential: MD
Phone: 678-437-1659