MEDICARE: AMBREYA GARRETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1174206676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBREYA GARRETT

Provider Business Mailing Address
First Line	:	165 REID PLANTATION DR
Second Line	:
City	:	VILLA RICA
State	:	GA
Zip	:	30180-5316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 REID PLANTATION DR
Second Line	:
City	:	VILLA RICA
State	:	GA
Zip	:	30180-5316
Country	:	US
Telephone Number	:	770-658-4542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2023
Last Update Date	:	08/10/2023

Similar Medicare Providers

1700918794 — DR. AILEEN J BANKEMPER PH.D.
Practice Location Address:

2500 AMSTERDAM RD
VILLA HILLS, KY
41017-5316

Practice Phone: 859-331-5471
Practice Fax: 859-331-2136

1033807417 — EMERICK THERAPY SERVICES, LLC
Practice Location Address:

231 S CARROLL RD
VILLA RICA, GA
30180-2607

Practice Phone: 770-810-5211
Practice Fax:

1265068068 — TORI JADE EMERICK LPC
Practice Location Address:

231 S CARROLL RD
VILLA RICA, GA
30180-2607

Practice Phone: 770-810-5211
Practice Fax:

1598603359 — MS. TANISHA LAVETTE SMITH
Practice Location Address:

1514 LAKE PARADISE RD
VILLA RICA, GA
30180-4632

Practice Phone: 470-528-9335
Practice Fax:

1598648677 — MS. CELINA MONIQUE MCMILLIAN
Practice Location Address:

PO BOX 234
VILLA RICA, GA
30180-0234

Practice Phone: 706-399-2764
Practice Fax:

1689272452 — MIRROR LAKE DRUGS & MEDICAL SERVICES LLC
Practice Location Address:

895 DALLAS HWY
VILLA RICA, GA
30180-1237

Practice Phone: 770-462-1152
Practice Fax: 770-462-1154

Directions to “ AMBREYA GARRETT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.