| Tri-state Behavioral Health, Inc | |
|
1350 Wooten Lake Rd Nw Ste 210 Kennesaw GA 30144-1348 | |
| (404) 447-9241 | |
| Not Available |
| Full Name | Tri-state Behavioral Health, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1350 Wooten Lake Rd Nw Ste 210, Kennesaw, Georgia |
| Authorized Official Name and Position | Naynette Kennett (OWNER) |
| Authorized Official Contact | 4044479241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Behavioral Health, Inc 2774 Cobb Pkwy Nw Ste 109-140 Kennesaw GA 30152-3469 Ph: (404) 447-9241 | Tri-state Behavioral Health, Inc 1350 Wooten Lake Rd Nw Ste 210 Kennesaw GA 30144-1348 Ph: (404) 447-9241 |
| NPI Number | 1790301091 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 10/15/2021 |
| Certification Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790301091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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