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EAST CONYERS BEHAVIORAL HEALTH CLINIC NPI 1710573936


NPI Information

NPI: 1710573936
Provider Name: EAST CONYERS BEHAVIORAL HEALTH CLINIC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1277 WELLBROOK CIR NE STE A
CONYERS, GA
ZIP 30012
Phone: (770) 679-5453
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EAST CONYERS BEHAVIORAL HEALTH CLINIC is a psychiatry psychiatry neurology in Conyers, GA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EAST CONYERS BEHAVIORAL HEALTH CLINIC NPI is 1710573936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1277 WELLBROOK CIR NE STE A
CONYERS, GA
ZIP 30012-973
Phone: (770) 679-5453
Fax: (770) 679-5457

The provider's authorized official is Selma Yallah .
The authorized official title is Co-owner and has the following contact phone number (770) 679-5453.

The enumeration date for this NPI number is 12/13/2020 and was last updated on 2/2/2021.


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
12084P0800XPsychiatry & NeurologyPsychiatryYes

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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