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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982216800 | NPPES |
| Other | 2019050849 | ANCC CERTIFICATION | |
| Other | 14596139 | ANCC CERTIFICATION | |
| Other | RN233368 | ANCC CERTIFICATION |
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