Organization · NPI-2
Bhg Lxvi, LLC
Psychiatry & Neurology, Addiction Medicine · Bremen, GA
NPI number1811596646
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1811596646
- Entity type
- Organization (NPI-2)
- Legal business name
- Bhg Lxvi, LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | Yes |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | |
| 207RA0401X | Internal Medicine, Addiction Medicine | – | – | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- Bhg Medical Services-Bremen (Doing Business As)
Practice location
1021 Alabama AvenueBremen, GA 30110
Phone 770-537-7007
Mailing address
5001 Spring Valley RoadSuite 600 East
Dallas, TX 75244
Phone 214-365-6100 · Fax 214-365-6150
Authorized official
Zack Ragsdale
Cred Account Manager
5124545911
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