Organization Active NPI

Sobek, LLC

  • Community/Behavioral Health Agency
  • East Point, GA
National Provider Identifier
1962836338
Registry record updated Mar 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOBEK, LLC
Practice address
3455 N Desert Dr Ste 101
East Point, GA 30344-5725
Phone
(678) 523-3248
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2014

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

Authorized official

Name
Mr. Akinkuotu S. Angosisye, LCSW
Title
Director
Phone
(678) 523-3248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3455 N Desert Dr Ste 101
East Point, GA 30344-5725

Mailing address

8954 Lake CT
Union City, GA 30291-6031
Phone (678) 523-3248

National Provider Directory

National Provider Directory

Locations

3455 N Desert Dr
Bldg 3
East Point, GA 30344
Phone (404) 209-8950

3455 N Desert Dr
Ste 101
East Point, GA 30344
Phone (678) 523-3248

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1962836338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 LAKE CT",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302916031",
            "telephone_number": "678-523-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 N DESERT DR STE 101",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445725",
            "telephone_number": "678-523-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "ANGOSISYE",
        "authorized_official_first_name": "AKINKUOTU",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-523-3248",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.