Healthcare Provider Details

I. General information

NPI: 1083522171
Provider Name (Legal Business Name): BONNIE FAITH MOSBY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6667 VERNON WOODS DR STE B-35
SANDY SPRINGS GA
30328-3215
US

IV. Provider business mailing address

6667 VERNON WOODS DR STE B-35
SANDY SPRINGS GA
30328-3215
US

V. Phone/Fax

Practice location:
  • Phone: 404-345-9696
  • Fax:
Mailing address:
  • Phone: 404-345-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: