BHG Xlvii, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BHG XLVII, LLC

Doing business as

BHG STOCKBRIDGE TREATMENT CENTER

Practice address

1233 Eagles Landing Pkwy Ste C
Stockbridge, GA 30281-6399

Phone

(214) 365-6100

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Jemece Michelle Gasaway

Title

Director of Licensing

Phone

(214) 365-6126

Specialties & licenses 3

Addresses

Other names 1

• BHG STOCKBRIDGE TREATMENT CENTER Doing business as

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1922517358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD STE 600E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448217",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EAGLES LANDING PKWY STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816399",
            "telephone_number": "214-365-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG XLVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "JEMECE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF LICENSING",
        "authorized_official_telephone_number": "214-365-6126"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG STOCKBRIDGE TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG STOCKBRIDGE TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.