| NPI | 1174756464 |
|---|---|
| Doing Business As | SIMPLYKINGSANDQUEENS |
| Entity Type | Organization |
| Authorized Contact | ANDREA BISHOP MARBARY Psychologist 678-395-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: GA psy-001519) |
| Additional Taxonomies | 251B00000X Case Management (Licence: GA psy-001519) |
| 305R00000X Preferred Provider Organization (Licence: GA psy-001519) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |