Phoenix Behavioral Health Services of Georgia, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0212 Issued in GA

Legal business name

PHOENIX BEHAVIORAL HEALTH SERVICES OF GEORGIA, LLC

Practice address

8712 Tara Blvd
Jonesboro, GA 30236-4905

Phone

(770) 478-3417

Fax

(770) 478-3419

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Murrah

Title

Ceo

Phone

(770) 478-3417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1972666204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 TARA BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364905",
            "telephone_number": "770-478-3417",
            "fax_number": "770-478-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 TARA BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364905",
            "telephone_number": "770-478-3417",
            "fax_number": "770-478-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH SERVICES OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "MURRAH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-478-3417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "0212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Philippe
• Amaria B Phillips, MSW
• Bonnie K. Phillips, D.C.
• Phoenix Behavioral Ealth Services of Georgia
• Phoenix Behavioral Health Service of Georgia
• Wasana J Phouangmalay, CST, CSFA
• Physiotherapy Associates Inc (Physio-Tara)
• Luis Enrique Pierantoni Muniz, DC
• Richard Howard Pike, MD
• Belkis Pimentel, MD

• Community/Behavioral Health Agency in Jonesboro, GA
• Providers in Jonesboro, 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 Sep 6, 2007; 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.