MEDICARE: BEHAVIORAL HEALTH CONSULTANTS, INC.

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN115041	GA

General Provider Information

NPI Number	:	1104982263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHAVIORAL HEALTH CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	130 26TH ST NW
Second Line	:	SUITE 107
City	:	ATLANTA
State	:	GA
Zip	:	30309-2076
Country	:	US
Telephone Number	:	404-969-3027
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 PEACHTREE RD NE
Second Line	:	SUITE X24
City	:	ATLANTA
State	:	GA
Zip	:	30309-1148
Country	:	US
Telephone Number	:	404-969-3027
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUZAN Y NEAL
Credential	:	APRN-BC
Telephone Number	:	404-969-3027

Provider Enumeration Date	:	12/30/2006
Last Update Date	:	10/04/2010

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