| Avenia Behavioral Management, Inc | |
|
4500 Karls Gate Dr Marietta GA 30068-2017 | |
| (770) 973-0687 | |
| (770) 973-3587 |
| Full Name | Avenia Behavioral Management, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4500 Karls Gate Dr, Marietta, Georgia |
| Authorized Official Name and Position | Russell E Brown (OWNER, MEDICAL DIRECTOR) |
| Authorized Official Contact | 4043164992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenia Behavioral Management, Inc 2001 Mlk Jr Dr Sw Ste Suites 418/420 Atlanta GA 30310 Ph: (404) 564-4987 | Avenia Behavioral Management, Inc 4500 Karls Gate Dr Marietta GA 30068-2017 Ph: (770) 973-0687 |
| NPI Number | 1457395733 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457395733 | NPI | - | NPPES |
| CH7731 | Other | GA | RR MEDICARE GROUP PIN |
| CH7732 | Other | GA | RR MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Georgia) | Primary |
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