| Behavioral Innovations, Llc | |
|
551 N Cherokee Rd Social Circle GA 30025-2887 | |
| (770) 825-8124 | |
| (770) 825-9066 |
| Full Name | Behavioral Innovations, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 551 N Cherokee Rd, Social Circle, Georgia |
| Authorized Official Name and Position | Patricia Dunsha (OWNER) |
| Authorized Official Contact | 7708258124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Innovations, Llc Po Box 689 Social Circle GA 30025-0689 Ph: (770) 825-8124 | Behavioral Innovations, Llc 551 N Cherokee Rd Social Circle GA 30025-2887 Ph: (770) 825-8124 |
| NPI Number | 1720380801 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720380801 | NPI | - | NPPES |
| 246724801A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005661 (Georgia) | Primary |
B-car3 Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 Cedar St, Social Circle, GA 30025 Phone: 478-251-3409 |