Hephzibah Behavioral Health Services, Inc

LBN: Hephzibah Behavioral Health Services, Inc
Hephzibah Behavioral Health Services, Inc is an health care organization with primary practice located at 1902 Forsyth St Ste D , Macon GA 31201-8132. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Hephzibah Behavioral Health Services, Inc can be contacted via phone (478) 476-0805, or through Bagley, Peter via phone (478) 476-0805.

Contact Information

Primary practice address
1902 Forsyth St Ste D Macon GA 31201-8132
Phone: (478) 476-0805
Fax: (478) 475-9492
Website:
Map and Directions
Authorized official contact:
Name: Bagley, Peter
Phone: (478) 476-0805

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Georgia

Profile Details

NPI number 1760672778
LBN Legal business name Hephzibah Behavioral Health Services, Inc
DBA Doing business as
Authorized official Bagley, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2007
Last updated Sep 27th, 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 1760672778 NPPES
Georgia MEDICAID 585571168A

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