OrganizationActive
Amazing Shield Behavioral Health Services LLC
NPI 1730915836 · Psychiatric/Mental Health Nurse Practitioner · Snellville, GA
Provider details
- NPI number
- 1730915836
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bolanle Babajide-Gbenga, Pmhnp-Bc(470) 616-7503
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2330 Scenic Hwy S Ste 410
Snellville, GA 30078-3115
Phone: (470) 616-7503
Approximate (ZIP-level) locationGet directions
Mailing address
2330 Scenic Hwy S Ste 410
Snellville, GA 30078-3115
Registry dates
- Enumerated
- 2024-09-13
- Last updated
- 2025-01-05
- Certified
- 2025-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.