Aymethist LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

AYMETHIST LLC

Doing business as

Aymethist LLC

Practice address

990 Peachtree Industrial Blvd Unit 688
Suwanee, GA 30024-5208

Phone

(904) 209-7126

NPI assigned

Apr 14, 2025

Organization subpart

No

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

Authorized official

Name

Yamara Nichols

Title

Manager

Phone

(904) 209-7126

Specialties & licenses 1

Addresses

Other names 1

• Aymethist LLC Doing business as

Locations

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1417742867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 688",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245208",
            "telephone_number": "404-585-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 688",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245208",
            "telephone_number": "904-209-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYMETHIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "YAMARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-209-7126"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aymethist LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aymethist LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.