Alaris Behavioral Services, P.C.
Organization Active NPI Child & Adolescent Psychiatry Physician · Fayetteville, GA
NPI 1366619652 · NPPES record last updated Jul 30, 2012
Key facts
- NPI
- 1366619652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 49070 (GA)
- Legal business name
- ALARIS BEHAVIORAL SERVICES, P.C.
- Practice address
- 110 Habersham Dr
Suite 146
Fayetteville, GA 30214-1381 - Phone
- (770) 371-5110
- Fax
- (678) 500-6797
- NPI assigned
- May 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Linda R. Neale, D.O.
- Title
- President/Medical Director
- Phone
- (770) 716-4117
National Provider Directory
Locations
101 Devant St
Ste 301
Fayetteville, GA 30214
Phone (770) 716-4117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician |
2084P0804X | 49070 | GA | Yes |
Addresses
Primary practice location
110 Habersham Dr
Suite 146
Fayetteville, GA 30214-1381
Mailing address
110 Habersham Dr
Suite 146
Fayetteville, GA 30214-1381
Phone (770) 371-5110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202G700593 | Other | GA | MEDICARE PTAN |
| 000891349E | Medicaid | GA |
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All providers in Fayetteville, GA · Child & Adolescent Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.