Pediatric And Family Behavioral Health Of Georgia

LBN: Pediatric And Family Behavioral Health Of Georgia
Pediatric And Family Behavioral Health Of Georgia is an health care organization with primary practice located at 115 N Park Trl Ste 140 , Stockbridge GA 30281-7373. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Pediatric And Family Behavioral Health Of Georgia can be contacted via phone (404) 907-3982, or through Taylor, Jovon via phone (404) 907-3982.

Contact Information

Primary practice address
115 N Park Trl Ste 140 Stockbridge GA 30281-7373
Phone: (404) 907-3982
Fax: (678) 775-8877
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Jovon
Phone: (404) 907-3982

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Nursing Service Providers / Licensed Practical Nurse 164W00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1982216800
LBN Legal business name Pediatric And Family Behavioral Health Of Georgia
DBA Doing business as
Authorized official Taylor, Jovon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2020
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982216800 NPPES
Other 2019050849 ANCC CERTIFICATION
Other 14596139 ANCC CERTIFICATION
Other RN233368 ANCC CERTIFICATION

Popular Providers