Peachtree Behavioral LLC
Counselor, Addiction (Substance Use Disorder) in Atlanta, GA. Organization (NPI-2).
NPI number1073408134
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1073408134
- Entity type
- Organization (NPI-2)
- Legal business name
- Peachtree Behavioral LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2025
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2255 Cumberland Pkwy Se Bldg 1600Atlanta, GA 30339-4515
Phone 943-216-3882
Mailing address
2255 Cumberland Pkwy Se Bldg 1600Atlanta, GA 30339-4515
Phone 943-216-3882
Authorized official
Robert L Smith
Owner
9432163882
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