Organization · Type 2 NPI

Southside Psychiatric Consultants LLC

Psychiatric/Mental Health Nurse Practitioner · Riverdale, GA

NPI number 1902670490 Active

Practice location

6572 River Park Dr Ste 101G
Riverdale, GA 30274-2214

Call (404) 734-4445 Map

Fax (404) 745-0552

Mailing address

110 W Pier Way
Fayetteville, GA 30214-4617

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1902670490

Southside Psychiatric Consultants LLC's National Provider Identifier is 1902670490, issued on Nov 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Riverdale, GA. The record was last updated on Jun 17, 2025.