WBC GEORGIA LLC NPI 1235674375

NPI Information

  • NPI: 1235674375
  • Provider Name: WBC GEORGIA LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 4536 BARCLAY DR
    ATLANTA, GA
    ZIP 30338
  • Phone: (770) 458-8711

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NPI Details

WBC GEORGIA LLC is an adult mental health clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WBC GEORGIA LLC NPI is 1235674375. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4536 BARCLAY DR
ATLANTA, GA
ZIP 30338-145
Phone: (770) 458-8711

The provider's authorized official is Stuart Koman .
The authorized official title is Ceo/president and has the following contact phone number (781) 647-6767.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 5/30/2019.

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
1103T00000XPsychologistNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3323P00000XPsychiatric Residential Treatment FacilityNo
4261QM0850XClinic/CenterAdult Mental HealthYes

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: 11/21/2025

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