| I-siyu, Llc | |
|
4487 Park Dr Ste A1 Norcross GA 30093-2964 | |
| (404) 838-8740 | |
| (844) 494-7817 |
| Full Name | I-siyu, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4487 Park Dr Ste A1, Norcross, Georgia |
| Authorized Official Name and Position | Brandi Wilson (LCSW) |
| Authorized Official Contact | 4048388740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I-siyu, Llc 245 N Highland Ave Ne Ste 230-374 Atlanta GA 30307-1936 Ph: (404) 838-8740 | I-siyu, Llc 4487 Park Dr Ste A1 Norcross GA 30093-2964 Ph: (404) 838-8740 |
| NPI Number | 1104396662 |
|---|---|
| Provider Enumeration Date | 11/27/2018 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104396662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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