Simply Queens Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY-001519 Issued in GA

Legal business name

SIMPLY QUEENS INC

Practice address

6974 Main St
Lithonia, GA 30058-4427

Phone

(678) 395-3250

Fax

(678) 395-3252

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Bishop Marbary, LPC

Title

Psychologist

Phone

(678) 395-3250

Specialties & licenses 3

Addresses

Other names 1

• Simplykingsandqueens Doing business as

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1174756464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6974 MAIN ST",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584427",
            "telephone_number": "678-395-3250",
            "fax_number": "678-395-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 MAIN ST",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584427",
            "telephone_number": "678-395-3250",
            "fax_number": "678-395-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY QUEENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "BISHOP MARBARY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-395-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "PSY-001519",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY-001519",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "PSY-001519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simplykingsandqueens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.