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NPI Code Detail

MEDICARE: BLUE EPIPHANIES

MEDICARE: BLUE EPIPHANIES
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1376343699
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE EPIPHANIES
Provider Business Mailing Address
First Line : 1686 DUNTON GREEN WAY
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30043-7531
Country : US
Telephone Number : 470-207-2410
Fax Number :
Provider Business Practice Location Address
First Line : 5887 GLENRIDGE DR STE 230
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-9929
Country : US
Telephone Number : 470-207-2410
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST, OWNER
Name : DR. BRANDON LANDRY
Credential : PSY.D.
Telephone Number : 470-207-2410
Provider Enumeration Date : 03/17/2025
Last Update Date : 05/27/2026

Similar Medicare Providers

1003569989 — BRANDON LANDRY PSYD
Practice Location Address:
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA
30328-9929
Practice Phone: 470-207-2410
Practice Fax:
1386760312 — DR. ALISA DENNIS PH.D.
Practice Location Address:
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA
30328-9929
Practice Phone: 818-693-7530
Practice Fax:
1588872287 — DIANA LILIANA SANTIAGO VERGARA M.D.
Practice Location Address:
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA
30328-9929
Practice Phone: 305-785-8573
Practice Fax:
1528246642 — ANGEL LUIS PEREZ JR. MD
Practice Location Address:
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA
30328-9929
Practice Phone: 770-255-4655
Practice Fax: 770-255-4586
1134452899 — YERINA KNOBLOCK MFT
Practice Location Address:
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA
30328-9929
Practice Phone: 949-289-1000
Practice Fax:
1215232491 — DR. OPHELIA ALICIA ABBEY DNP
Practice Location Address:
5887 GLENRIDGE DR STE 230
SANDY SPRINGS, GA
30328-9929
Practice Phone: 470-210-8179
Practice Fax: 470-729-7016

Directions to “BLUE EPIPHANIES ” Practice Location

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