Brightpath Behavioral Health Group, L.L.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIGHTPATH BEHAVIORAL HEALTH GROUP, L.L.C.

Doing business as

Brightpath Behavioral Health

Practice address

2969 E Ponce de Leon Ave
Decatur, GA 30030-2215

Phone

(770) 871-9946

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Densia Demario Brown

Title

President

Phone

(770) 871-9946

Specialties & licenses 1

Addresses

Other names 1

• Brightpath Behavioral Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1356651582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 CENTRAL PARK PL NE",
            "address_2": "STE 530",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121253",
            "telephone_number": "770-871-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 E PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302215",
            "telephone_number": "770-871-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTPATH BEHAVIORAL HEALTH GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DENSIA",
        "authorized_official_middle_name": "DEMARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-871-9946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightpath Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.