MEDICARE: PRIMROSE HEALTH BEHAVIORAL SERVICES LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1437029386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMROSE HEALTH BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	2483 POWDER SPRINGS RD SW STE B
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-4573
Country	:	US
Telephone Number	:	770-771-8095
Fax Number	:

Provider Business Practice Location Address
First Line	:	2483 POWDER SPRINGS RD SW STE B
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-4573
Country	:	US
Telephone Number	:	770-771-8095
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADEOLA BABARINDE
Credential	:
Telephone Number	:	770-771-8095

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	04/08/2026

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