NPIMap

Organization Active NPI

New Behavioral Services LLC

  • Professional Counselor
  • McDonough, GA
National Provider Identifier
1356993356
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW BEHAVIORAL SERVICES LLC
Doing business as
New Behavioral Services LLC
Practice address
769 Emporia Loop
McDonough, GA 30253-6904
Phone
(470) 540-0107
Fax
(678) 814-4759
NPI assigned
Jul 10, 2019
Last updated
Apr 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Dr. Paul O Egbe, LPCNPI 1235402926
Title
Owner
Phone
(334) 545-0582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

769 Emporia Loop
McDonough, GA 30253-6904

Mailing address

PO Box 2533
McDonough, GA 30253-1737
Phone (470) 540-0107

Other names 1

  • New Behavioral Services LLC Doing business as

National Provider Directory

National Provider Directory

Locations

216 N McDonough St
Jonesboro, GA 30236
Phone (470) 765-6689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1356993356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2533",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302531737",
            "telephone_number": "470-540-0107",
            "fax_number": "678-814-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 EMPORIA LOOP",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536904",
            "telephone_number": "470-540-0107",
            "fax_number": "678-814-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "EGBE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-545-0582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Behavioral Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.