Organization Active NPI

Marietta Brain Health, LLC

  • EEG Technician
  • Marietta, GA
National Provider Identifier
1336044437
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG TechnicianTaxonomy code 2472E0500X
Legal business name
MARIETTA BRAIN HEALTH, LLC
Practice address
216 Washington Ave NE
Marietta, GA 30060-1959
Phone
(770) 790-3522
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Terri Abraham, LPC
Title
Partner
Phone
(770) 591-7518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X NU Primary

Addresses

Primary practice location

216 Washington Ave NE
Marietta, GA 30060-1959

Mailing address

216 Washington Ave NE
Marietta, GA 30060-1959
Phone (770) 790-3522

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1336044437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WASHINGTON AVE NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601959",
            "telephone_number": "770-790-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WASHINGTON AVE NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601959",
            "telephone_number": "770-790-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA BRAIN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-591-7518",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.