Synergy Behavior Health Professionals
Clinic/Center, Adolescent and Children Mental Health in Ellenwood, GA. Organization (NPI-2).
NPI number1376314534
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1376314534
- Entity type
- Organization (NPI-2)
- Legal business name
- Synergy Behavior Health Professionals
- Organization subpart
- No
- Enumeration date
- Jan 15, 2024
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
4318 Grant Forest CirEllenwood, GA 30294-5502
Phone 470-696-6868
Mailing address
4318 Grant Forest CirEllenwood, GA 30294-5502
Phone 470-696-6868
Authorized official
Paula Mcdowell
Ceo
4706966868
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinic/Center, Adolescent and Children Mental Health providers in Ellenwood, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.