Provider Demographics
NPI:1295260362
Name:OSEI-BONSU, NAT
Entity type:Individual
Prefix:
First Name:NAT
Middle Name:
Last Name:OSEI-BONSU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 POND LILLIES RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-9037
Mailing Address - Country:US
Mailing Address - Phone:770-875-4313
Mailing Address - Fax:
Practice Address - Street 1:537 POND LILLIES RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-9037
Practice Address - Country:US
Practice Address - Phone:770-875-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health