MEDICARE: TMV INTEGRATED BEHAVIORAL HEALTH SERVICES 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1326900853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMV INTEGRATED BEHAVIORAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	8735 DUNWOODY PL STE R
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	404-941-4548
Fax Number	:

Provider Business Practice Location Address
First Line	:	8735 DUNWOODY PL STE R
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	404-941-4548
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMATHA REGINA MCCOY
Credential	:	MSW
Telephone Number	:	404-941-4548

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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