Peach Seed Healthcare

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

PEACH SEED HEALTHCARE

Doing business as

MBH Healthcare

Practice address

1635 Old 41 Hwy NW Ste 141
Kennesaw, GA 30152-4480

Phone

(678) 400-5051

NPI assigned

Jul 5, 2020

Organization subpart

No

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

Authorized official

Name

Latoya Nicole Thomas

Title

Practice Owner

Phone

(470) 531-2580

Specialties & licenses 1

Addresses

Other names 1

• MBH HEALTHCARE Doing business as

Locations

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1851918999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE RD NE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263236",
            "telephone_number": "470-531-2580",
            "fax_number": "470-531-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 OLD 41 HWY NW STE 141",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524480",
            "telephone_number": "678-400-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH SEED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "470-531-2580"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBH HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indya Patterson
• Raymond Allen Patterson, PHARMD
• Paw and Peace Mental Health Counseling LLC
• Ellyce Diana Payne, MS, NCC, LAPC
• Peacemaker Solutions, Inc.
• Peachtree Health Group LLC (Kennesaw Primary Care)
• Marilyn Diane Pearce, LMFT, PH.D.
• Neal P. Pearce, P.T.
• Waylon Pearson, DO
• Heather H Pedrick, CNM

• Child & Adolescent Psychiatry Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Child & Adolescent Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.