Greenlee Behavioral Health Services, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

453088947A Issued in GA

Legal business name

GREENLEE BEHAVIORAL HEALTH SERVICES, LLC.

Practice address

778 Rays Rd
Suite 102
Stone Mountain, GA 30083-3107

Phone

(404) 298-1230

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Lasha Wiggins, M.ED.

Title

Owner/Ceo

Phone

(404) 298-1230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Greenlee Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenlee Behavioral Health Services

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1679728554
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hemachandra Pemasiri Gunawardhana, MD

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1558369413
  Medicare reassignment NPD

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1881968584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "SUITE 102",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-298-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 RAYS RD",
            "address_2": "SUITE 102",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "404-298-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEE BEHAVIORAL HEALTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "LASHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "404-298-1230",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "453088947A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Myra Grayson, R.PH.
• Greater Atlanta Pediatrics PC
• Green Mind Behavioral Health Services LLC
• Benita Green
• Crystal Latasha Greene
• Greenridge Community Integration Home
• Natasha C Gresham, LPC
• Lashawnda M Grier
• Torri L Griffin, PH.D.
• Michele Y Griffith, MD

• Community/Behavioral Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, 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 Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.