NPI:
1144374604
Provider Name:
CHILDREN'S BMH PROVIDERS, LLC
Doing Business As: CHILDRENS BMH PROVIDERS, LLC
Classification:
Clinic/Center - 261QM0855X
Entity Type:
Organization
Specialization: Adolescent and Children Mental Health
CLIA Number: 11D2264328
Address:
1605 CHANTILLY DR NE STE 110
ATLANTA, GA
ZIP 30324
Phone:
(404) 785-5437
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CHILDREN'S BMH PROVIDERS, LLC is an adolescent and children 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILDREN'S BMH PROVIDERS, LLC NPI is 1144374604. The provider is registered as an organization entity type.
The provider Is Doing Business As Childrens Bmh Providers, Llc.
The provider's business location address is:
1605 CHANTILLY DR NE STE 110
ATLANTA, GA
ZIP 30324-277
Phone: (404) 785-5437
The provider's authorized official is Managed Care .
The authorized official title is Manager, Provider Enrollment and has the following contact phone number (404) 785-7876.
The CLIA number assigned to this NPI record is 11D2264328 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/17/2024.