Peachstate Psychiatric Services, Inc.
LBN: Peachstate Psychiatric Services, Inc.
Peachstate Psychiatric Services, Inc. is an health care organization with primary practice located at 1720 Peachtree St Nw Ste 640 , Atlanta GA 30309-2450. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty.
Peachstate Psychiatric Services, Inc. can be contacted via phone (404) 575-4785, or through Owens, Dwight A. via phone (404) 575-4785.
Contact Information
Primary practice address
1720 Peachtree St Nw Ste 640
Atlanta GA 30309-2450
Phone: (404) 575-4785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospital Units / Psychiatric Unit | 273R00000X | 080408LGB | Georgia |
Profile Details
| NPI number | 1922230648 |
|---|---|
| LBN Legal business name | Peachstate Psychiatric Services, Inc. |
| DBA Doing business as | |
| Authorized official | Owens, Dwight A. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2009 |
| Last updated | Aug 13th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922230648 | NPPES |
| Other | 162363 | VALUE OPTIONS | |
| MEDICAID | CLARENCE5 | VALUE OPTIONS | |
| Other | 52806851 | VALUE OPTIONS | |
| Other | 102379467 | VALUE OPTIONS | |
| Other | 713313717 | VALUE OPTIONS | |
| Other | 278688000 | VALUE OPTIONS | |
| Other | 7698253 | VALUE OPTIONS | |
| Other | 80440600 | VALUE OPTIONS | |
| Other | 158479400 | VALUE OPTIONS | |
| Other | 26BDHBD | VALUE OPTIONS | |
| Other | 27868800 | VALUE OPTIONS | |
| Other | 000851309A | VALUE OPTIONS | |
| Other | 52806851 | VALUE OPTIONS |
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