Avenia Behavioral Management, Inc

LBN: Avenia Behavioral Management, Inc
Avenia Behavioral Management, Inc is an health care organization with primary practice located at 4500 Karls Gate Dr , Marietta GA 30068-2017. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Avenia Behavioral Management, Inc can be contacted via phone (770) 973-0687, or through Brown, Russell E via phone (404) 316-4992.

Contact Information

Primary practice address
4500 Karls Gate Dr Marietta GA 30068-2017
Phone: (770) 973-0687
Fax: (770) 973-3587
Website:
Map and Directions
Authorized official contact:
Name: Brown, Russell E Doctor of Medicine (MD)
Phone: (404) 316-4992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Georgia

Profile Details

NPI number 1457395733
LBN Legal business name Avenia Behavioral Management, Inc
DBA Doing business as
Authorized official Brown, Russell E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457395733 NPPES
Georgia Other CH7731 RR MEDICARE GROUP PIN
Georgia Other CH7732 RR MEDICARE GROUP PIN

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