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General NPI Number Information
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NPI Number | 1366083131
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Entity Type | Organization
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Legal Business Name | PYRAMID FAMILY BEHAVIORAL HEALTHCARE LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 6000 LAKE FORREST DR STE 200
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City | ATLANTA
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State | GA
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Zip | 30328-3896
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Country | US
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Telephone | 770-776-8177
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Fax |
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Provider Business Mailing Address
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Address Line | 11138 STATE BRIDGE RD STE A
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City | JOHNS CREEK
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State | GA
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Zip | 30022-7465
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Country | US
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Telephone | 814-552-0229
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASON HENDRICKS
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Credential |
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Telephone | 814-940-0407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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