Healthcare Provider Details

I. General information

NPI: 1891166757
Provider Name (Legal Business Name): TRUSTY BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3091 HOLCOMB BRIDGE RD STE N1
NORCROSS GA
30071-1395
US

IV. Provider business mailing address

3845 ANSLEY PARK DR
SUWANEE GA
30024-6433
US

V. Phone/Fax

Practice location:
  • Phone: 470-219-8271
  • Fax:
Mailing address:
  • Phone: 470-219-8271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JOHN C TRUSTY
Title or Position: CEO
Credential:
Phone: 470-219-8271