Pinnacle Behavioral Health | |
6851 Roswell Rd Apt J21 Atlanta GA 30328-2430 | |
(404) 886-7818 | |
Not Available |
Full Name | Pinnacle Behavioral Health |
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Speciality | Community/Behavioral Health |
Location | 6851 Roswell Rd Apt J21, Atlanta, Georgia |
Authorized Official Name and Position | Leroy Morgan (CEO) |
Authorized Official Contact | 4048867818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinnacle Behavioral Health 6851 Roswell Rd Apt J21 Atlanta GA 30328-2430 Ph: (404) 886-7818 | Pinnacle Behavioral Health 6851 Roswell Rd Apt J21 Atlanta GA 30328-2430 Ph: (404) 886-7818 |
NPI Number | 1699449827 |
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Provider Enumeration Date | 08/02/2021 |
Last Update Date | 08/02/2021 |
Certification Date | 08/02/2021 |
Medicare PECOS PAC ID | 8921490442 |
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Medicare Enrollment ID | O20220113000606 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699449827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Julia J Waller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588964795 PECOS PAC ID: 2365684925 Enrollment ID: I20130809000524 |
Provider Name | Natacha Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003298035 PECOS PAC ID: 6800143496 Enrollment ID: I20180730000442 |
Provider Name | Autumn Hierholzer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053889766 PECOS PAC ID: 9032456363 Enrollment ID: I20190124002645 |
Provider Name | Rosetta A Friday |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437669041 PECOS PAC ID: 3779916572 Enrollment ID: I20191210000339 |
Provider Name | Tresa Morris-simpkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285285072 PECOS PAC ID: 7618381849 Enrollment ID: I20210129002549 |
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