Tri-State Behavioral Health, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRI-STATE BEHAVIORAL HEALTH, INC

Practice address

1350 Wooten Lake Rd NW Ste 210
Kennesaw, GA 30144-1348

Phone

(404) 447-9241

NPI assigned

Jun 23, 2020

Last updated

Oct 15, 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

Naynette Kennett, LCSWNPI 1790854420

Title

Owner

Phone

(404) 447-9241

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Naynette Kennett

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1790854420
  NPD Authorized official
• Ka'Lynn Price, LMSW

  • Social Worker
  • Kennesaw, GA
  • NPI 1841997756
  NPD

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1790301091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 COBB PKWY NW STE 109-140",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523469",
            "telephone_number": "404-447-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441348",
            "telephone_number": "404-447-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "KENNETT",
        "authorized_official_first_name": "NAYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-447-9241",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town Center Vision Care, LLC (Atlanta Eye Group - Town Center)
• Ha P Tran
• Khang Tran, PHARM.D
• Tranquil Home Care LLC
• Tranquil, Inc.
• Makayla Trimner
• Trinity Pharmacy Inc.
• Trinity's Loving Hands Home Care
• True Flow Chiropractic
• Jake Anthony Tuchmann

• Community/Behavioral Health Agency in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.