DELIVERANCE HEALTH LIMITED LIABILITY COMPANY
NPI 1124780861
Nurse Practitioner - Psychiatric/Mental Health in Dallas, GA

Q: What is Deliverance Health Limited Liability Company's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 11, 2021

108 CRESCENT WOODE DR, DALLAS, GA 30157(404) 934-6010 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deliverance Health Limited Liability Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELIVERANCE HEALTH LIMITED LIABILITY COMPANY (NPI 1124780861) is a healthcare organization registered as a psychiatric/mental health in Dallas, Georgia and active in the NPI registry since October 2021. The organization lists Ebote N Nnoko, Owner, as its authorized official.

NPPES Registry Identity

NPI1124780861

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameDELIVERANCE HEALTH LIMITED LIABILITY COMPANY

Location Address108 CRESCENT WOODE DRDallas, GA 30157-5725

Mailing Address108 Crescent Woode DrDallas, GA 30157-5725

Phone(404) 934-6010

Organization SubpartNo

Authorized OfficialEbote N NnokoOwner · (404) 934-6010

Enumeration DateOctober 11, 2021

Last NPPES UpdateOctober 14, 2021

NPPES CertifiedOctober 14, 2021

✔ NPI 1124780861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

108 CRESCENT WOODE DR, Dallas, GA 30157

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EBOTE NGITE NNOKO

Nurse Practitioner (Psychiatric/Mental Health)

108 CRESCENT WOODE DR
DALLAS, GA 30157

Paulding County (770) 702-5945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deliverance Health Limited Liability Company's NPI number?

The NPI number for Deliverance Health Limited Liability Company is 1124780861. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is Deliverance Health Limited Liability Company located?

Deliverance Health Limited Liability Company is located at 108 Crescent Woode Dr, Dallas, GA 30157. The listed phone number is (404) 934-6010.

What is Deliverance Health Limited Liability Company's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Deliverance Health Limited Liability Company was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.