TMC-BEHAVIORAL HEALTH OF WEST GEORGIA NPI 1356795462

NPI Information

  • NPI: 1356795462
  • Provider Name: TMC-BEHAVIORAL HEALTH OF WEST GEORGIA
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Doing Business As: BEHAVIORAL HEALTH OF WEST GEORGIA
  • Address: 101 QUARTZ DR STE 103B
    VILLA RICA, GA
    ZIP 30180
  • Phone: (770) 812-3530

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NPI Details

TMC-BEHAVIORAL HEALTH OF WEST GEORGIA is a geriatric psychiatry psychiatry neurology in Villa Rica, GA. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. TMC-BEHAVIORAL HEALTH OF WEST GEORGIA NPI is 1356795462. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Behavioral Health Of West Georgia.

The provider's business location address is:

101 QUARTZ DR STE 103B
VILLA RICA, GA
ZIP 30180-201
Phone: (770) 812-3530
Fax: (770) 812-3531

The provider's authorized official is Jillian Ragsdale .
The authorized official title is Vp Of Finance and has the following contact phone number (770) 838-8710.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 2/29/2024.

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
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

What is NPI?

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This page was last updated on: 3/30/2025

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