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NPI Code Detail

MEDICARE: HARRISON BRIDGE BEHAVIORAL HEALTH GA LLC

MEDICARE: HARRISON BRIDGE BEHAVIORAL HEALTH GA 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
1103K00000XBehavior Analyst
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1023941754
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRISON BRIDGE BEHAVIORAL HEALTH GA LLC
Provider Business Mailing Address
First Line : 3372 PEACHTREE RD NE STE 115
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1963
Country : US
Telephone Number : 704-709-5688
Fax Number :
Provider Business Practice Location Address
First Line : 3372 PEACHTREE RD NE STE 115
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1963
Country : US
Telephone Number : 704-709-5688
Fax Number :
Authorized Official
Title or Position : CEO
Name : ABE COHEN
Credential :
Telephone Number : 704-709-5688
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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