| Saint Lazarus Behavioral Health Inc. | |
|
4905 Forsyth Rd Macon GA 31210-4401 | |
| (865) 765-8224 | |
| (478) 474-6585 |
| Full Name | Saint Lazarus Behavioral Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4905 Forsyth Rd, Macon, Georgia |
| Authorized Official Name and Position | Samuel Inimbom Samuel (PRESIDENT) |
| Authorized Official Contact | 8657658224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Lazarus Behavioral Health Inc. 273 Providence Blvd Macon GA 31210-7565 Ph: (865) 765-8224 | Saint Lazarus Behavioral Health Inc. 4905 Forsyth Rd Macon GA 31210-4401 Ph: (865) 765-8224 |
| NPI Number | 1780814574 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Medicare PECOS PAC ID | 9638221955 |
|---|---|
| Medicare Enrollment ID | O20090717000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780814574 | NPI | - | NPPES |
| 712889273A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 056360 (Georgia) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 056360 (Georgia) | Primary |
Family Behavioral Care Of Central Ga, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3985 Arkwright Rd, Suite 102, Macon, GA 31210 Phone: 478-474-4265 Fax: 478-474-7863 | |
Ste. A Emery Hwy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217a Emery Hwy, Macon, GA 31217 Phone: 478-751-4519 | |
Nancy Paulk Mobley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 584 Arlington Pl, Macon, GA 31201 Phone: 478-743-1472 Fax: 478-743-1472 | |
Sleep Practitioners, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 275 Sheraton Blvd Ste 100, Macon, GA 31210 Phone: 478-745-5779 Fax: 478-742-7796 | |
Inner-connect Counseling, Consulting & Education Svc., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Ingleside Ave, Bldg. B, Ste. 102c, Macon, GA 31204 Phone: 478-361-0033 | |
Life Solutions Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 146 Pierce Ave, Macon, GA 31204 Phone: 478-796-2947 Fax: 478-210-2170 | |
The Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 Arlington Pl, Macon, GA 31201 Phone: 478-475-1299 |