DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHILDREN'S BMH PROVIDERS, LLC

MEDICARE: CHILDREN'S BMH PROVIDERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2208000000XPediatrics Physician

General Provider Information

NPI Number : 1144374604
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S BMH PROVIDERS, LLC
Provider Business Mailing Address
First Line : 1575 NORTHEAST EXPY NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30329-2401
Country : US
Telephone Number : 404-785-7876
Fax Number :
Provider Business Practice Location Address
First Line : 1575 NORTHEAST EXPY NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30329-2401
Country : US
Telephone Number : 404-785-5437
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : RUTH FOWLER
Credential :
Telephone Number : 404-785-5437
Provider Enumeration Date : 01/22/2007
Last Update Date : 10/17/2025

Similar Medicare Providers

1609866938 — JOHN EANES II MD
Practice Location Address:
1577 NORTHEAST EXPY NE
BROOKHAVEN, GA
30329-2401
Practice Phone: 404-785-0976
Practice Fax: 404-785-5845
1194788869 — JAMES FORTENBERRY MD
Practice Location Address:
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA
30329-2401
Practice Phone: 404-785-1313
Practice Fax: 404-785-6233
1548219603 — USHA SATHIAN MD
Practice Location Address:
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA
30329-2401
Practice Phone: 404-785-7117
Practice Fax: 404-785-7992
1023194735 — DANIEL SALINAS MD
Practice Location Address:
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA
30329-2401
Practice Phone: 404-785-1259
Practice Fax: 404-785-2034
1437203098 — CHILDREN'S ANESTHESIA SERVICES, LLC
Practice Location Address:
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA
30329-2401
Practice Phone: 404-785-6000
Practice Fax:
1740334291 — CHILDREN'S SEDATION SERVICES, LLC
Practice Location Address:
1575 NORTHEAST EXPY NE
BROOKHAVEN, GA
30329-2401
Practice Phone: 404-785-6000
Practice Fax:

Directions to “CHILDREN'S BMH PROVIDERS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.