Wellstar Behavioral Health

LBN: Kennestone Hosptial, Inc.
Wellstar Behavioral Health is an health care organization with primary practice located at 3950 Austell Rd Wellstar Behavioral Health Center, Austell GA 30106-1121. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Kennestone Hosptial, Inc. can be contacted via phone (770) 732-6570, or through Simone, Gregory L via phone (770) 792-7600.

Contact Information

Primary practice address
3950 Austell Rd Wellstar Behavioral Health Center Austell GA 30106-1121
Phone: (770) 732-6570
Fax: (770) 732-6549
Website:
Map and Directions
Authorized official contact:
Name: Simone, Gregory L Doctor of Medicine (MD)
Phone: (770) 792-7600

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 033-432 Georgia

Profile Details

NPI number 1902877418
LBN Legal business name Kennestone Hosptial, Inc.
DBA Doing business as Wellstar Behavioral Health
Authorized official Simone, Gregory L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 24th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902877418 NPPES
Georgia MEDICAID 00001999A

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