I-Siyu, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

I-SIYU, LLC

Practice address

4487 Park Dr Ste A1
Norcross, GA 30093-2964

Phone

(404) 838-8740

Fax

(844) 494-7817

NPI assigned

Nov 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi Wilson

Title

LCSW

Phone

(404) 838-8740

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1104396662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE STE 230-374",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071936",
            "telephone_number": "404-838-8740",
            "fax_number": "844-494-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 PARK DR STE A1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932964",
            "telephone_number": "404-838-8740",
            "fax_number": "844-494-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hartsfield Center Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303541377",
            "country_code": "US",
            "telephone_number": "404-594-4824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I-SIYU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "404-838-8740"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Norcross, GA
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• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.