| New Vision Behavioral Health Center | |
|
1745 Phoenix Blvd Ste 410 Atlanta GA 30349-5586 | |
| (770) 907-4243 | |
| (770) 907-4244 |
| Full Name | New Vision Behavioral Health Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1745 Phoenix Blvd Ste 410, Atlanta, Georgia |
| Authorized Official Name and Position | Monique Carter (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7709074243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Vision Behavioral Health Center 1745 Phoenix Blvd Ste 410 Atlanta GA 30349-5586 Ph: (770) 907-4243 | New Vision Behavioral Health Center 1745 Phoenix Blvd Ste 410 Atlanta GA 30349-5586 Ph: (770) 907-4243 |
| NPI Number | 1326164807 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123388949 |
|---|---|
| Medicare Enrollment ID | O20180215001969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326164807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Benjamin Herrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407882673 PECOS PAC ID: 9436101276 Enrollment ID: I20050221000137 |
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