Keystone Behavioral Health Center

Primary specialty

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

Legal business name

KEYSTONE BEHAVIORAL HEALTH CENTER

Practice address

1100 Peachtree St NE Ste 200
Atlanta, GA 30309-4829

Phone

(470) 701-0167

Fax

(470) 280-9441

NPI assigned

Apr 3, 2020

Last updated

Apr 30, 2021By 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

Maya Altonette Butler, LPC, CCTP, NCCNPI 1790146124

Title

Chief Executive Officer

Phone

(470) 701-0167

Specialties & licenses 1

Addresses

Locations

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.

• Maya Altonette Butler, LPC, CCTP, NCC

  • Professional Counselor
  • Decatur, GA
  • NPI 1790146124
  NPD Authorized official

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1568091429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094829",
            "telephone_number": "470-701-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094829",
            "telephone_number": "470-701-0167",
            "fax_number": "470-280-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "ALTONETTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "470-701-0167",
        "authorized_official_credential": "LPC, CCTP, NCC"
    },
    "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": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, 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 Apr 30, 2021; 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.