| Behavioral Health Assoicates Of Georgia, Llc | |
|
320 Lanier Ave W Fayetteville GA 30214-1600 | |
| (770) 376-7635 | |
| (678) 302-0810 |
| Full Name | Behavioral Health Assoicates Of Georgia, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 320 Lanier Ave W, Fayetteville, Georgia |
| Authorized Official Name and Position | Felice Martin (CEO) |
| Authorized Official Contact | 7703767635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Assoicates Of Georgia, Llc 320 Lanier Ave W Fayetteville GA 30214-1600 Ph: (770) 376-7635 | Behavioral Health Assoicates Of Georgia, Llc 320 Lanier Ave W Fayetteville GA 30214-1600 Ph: (770) 376-7635 |
| NPI Number | 1437657525 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437657525 | NPI | - | NPPES |
| 1477912111 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC009575 (Georgia) | Primary |
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