Healthcare Provider Details

I. General information

NPI: 1770230781
Provider Name (Legal Business Name): CARING PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 03/09/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 DALLAS HWY SW STE 202
MARIETTA GA
30064-7505
US

IV. Provider business mailing address

2500 DALLAS HWY SW STE 202
MARIETTA GA
30064-7505
US

V. Phone/Fax

Practice location:
  • Phone: 678-412-5153
  • Fax:
Mailing address:
  • Phone: 678-412-5153
  • 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: NASSARATOU DIABY
Title or Position: OWNER/PROVIDER
Credential: PMHNP
Phone: 678-412-5153