=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679425656
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SEE CHUNG MENTAL HEALTH SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2026
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5300 WOODLINE VIEW CIR
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30011-9906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-321-8089
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5300 WOODLINE VIEW CIR
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30011-9906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PMHNP
-----------------------------------------------------
Name | SEE CHUNG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 310-321-8089
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------