| Eastern Atlanta Behavioral Health Llc | |
|
1592 Mars Hill Rd Ste B Watkinsville GA 30677-4890 | |
| (706) 705-1687 | |
| (706) 705-1654 |
| Full Name | Eastern Atlanta Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1592 Mars Hill Rd Ste B, Watkinsville, Georgia |
| Authorized Official Name and Position | Roberto Norniella Norniella (CEO) |
| Authorized Official Contact | 7067051687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Atlanta Behavioral Health Llc 1592 Mars Hill Rd Ste B Watkinsville GA 30677-4890 Ph: (706) 705-1687 | Eastern Atlanta Behavioral Health Llc 1592 Mars Hill Rd Ste B Watkinsville GA 30677-4890 Ph: (706) 705-1687 |
| NPI Number | 1326386780 |
|---|---|
| Provider Enumeration Date | 01/19/2013 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/26/2020 |
| Medicare PECOS PAC ID | 7214174200 |
|---|---|
| Medicare Enrollment ID | O20130510000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326386780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 12100888 (Georgia) | Primary |
| Provider Name | Roberto Norniella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487609830 PECOS PAC ID: 3274501952 Enrollment ID: I20110128000100 |
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