Healthcare Provider Details

I. General information

NPI: 1427860436
Provider Name (Legal Business Name): TALBRESHIA SMILEY APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 CORPORATE CENTER DR STE C
STOCKBRIDGE GA
30281-7376
US

IV. Provider business mailing address

100 POSTMASTER DR UNIT 594
MCDONOUGH GA
30253-2808
US

V. Phone/Fax

Practice location:
  • Phone: 404-951-1113
  • Fax:
Mailing address:
  • Phone: 404-951-1113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN264363
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: