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VILLA RICA BEHAVIORAL HEALTH PC NPI 1982935052


NPI Information

NPI: 1982935052
Provider Name: VILLA RICA BEHAVIORAL HEALTH PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
514 W BANKHEAD HWY
SUITE 400
VILLA RICA, GA
ZIP 30180
Phone: (770) 456-2788
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VILLA RICA BEHAVIORAL HEALTH PC is a child and adolescent psychiatry psychiatry neurology in Villa Rica, GA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. VILLA RICA BEHAVIORAL HEALTH PC NPI is 1982935052. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

514 W BANKHEAD HWY
SUITE 400
VILLA RICA, GA
ZIP 30180-736
Phone: (770) 456-2788
Fax: (770) 456-2789

The provider's authorized official is George W. Bailey .
The authorized official title is Physician/owner and has the following contact phone number (770) 456-2788.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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