Peachstate Psychiatric Services, Inc.

LBN: Peachstate Psychiatric Services, Inc.
Peachstate Psychiatric Services, Inc. is an health care organization with primary practice located at 1720 Peachtree St Nw Ste 640 , Atlanta GA 30309-2450. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Peachstate Psychiatric Services, Inc. can be contacted via phone (404) 575-4785, or through Owens, Dwight A. via phone (404) 575-4785.

Contact Information

Primary practice address
1720 Peachtree St Nw Ste 640 Atlanta GA 30309-2450
Phone: (404) 575-4785
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owens, Dwight A. Doctor of Medicine (MD)
Phone: (404) 575-4785

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 080408LGB Georgia

Profile Details

NPI number 1922230648
LBN Legal business name Peachstate Psychiatric Services, Inc.
DBA Doing business as
Authorized official Owens, Dwight A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2009
Last updated Aug 13th, 2009 - about 15 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 1922230648 NPPES
Other 162363 VALUE OPTIONS
MEDICAID CLARENCE5 VALUE OPTIONS
Other 52806851 VALUE OPTIONS
Other 102379467 VALUE OPTIONS
Other 713313717 VALUE OPTIONS
Other 278688000 VALUE OPTIONS
Other 7698253 VALUE OPTIONS
Other 80440600 VALUE OPTIONS
Other 158479400 VALUE OPTIONS
Other 26BDHBD VALUE OPTIONS
Other 27868800 VALUE OPTIONS
Other 000851309A VALUE OPTIONS
Other 52806851 VALUE OPTIONS

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