Organization Active NPI

Professional Behavioral Health and Associates, LLC

  • Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1477014413
Registry record updated Mar 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROFESSIONAL BEHAVIORAL HEALTH AND ASSOCIATES, LLC
Practice address
245 Country Club Dr BLDG 300B
Stockbridge, GA 30281-7213
Phone
(678) 284-1008
Fax
(678) 284-1009
NPI assigned
Mar 30, 2019
Last updated
Mar 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2019

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

Authorized official

Name
Christy Turley
Title
Owner
Phone
(678) 284-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

245 Country Club Dr BLDG 300B
Stockbridge, GA 30281-7213

Mailing address

245 Country Club Dr BLDG 300B
Stockbridge, GA 30281-7213
Phone (678) 284-1008

National Provider Directory

National Provider Directory

Locations

245 Country Club Dr
Bldg 300B
Stockbridge, GA 30281
Phone (678) 284-1008

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553904000000",
    "number": "1477014413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 COUNTRY CLUB DR BLDG 300B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817213",
            "telephone_number": "678-284-1008",
            "fax_number": "678-284-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 COUNTRY CLUB DR BLDG 300B",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817213",
            "telephone_number": "678-284-1008",
            "fax_number": "678-284-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL BEHAVIORAL HEALTH AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-03-30",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-284-1008"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; 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.