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NPI Code Detail

MEDICARE: BUCKHEAD BEHAVIORAL HEALTH

MEDICARE: BUCKHEAD BEHAVIORAL HEALTH
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
1261QM0850XAdult Mental Health Clinic/Center
2324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1336917707
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKHEAD BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 365 MARKET PL STE 201
Second Line :
City : ROSWELL
State : GA
Zip : 30075-3947
Country : US
Telephone Number : 770-230-5699
Fax Number :
Provider Business Practice Location Address
First Line : 365 MARKET PL STE 201
Second Line :
City : ROSWELL
State : GA
Zip : 30075-3947
Country : US
Telephone Number : 770-230-5699
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF QUALITY ASSURANCE
Name : ERIKA DALTON
Credential :
Telephone Number : 470-226-6002
Provider Enumeration Date : 12/15/2023
Last Update Date : 08/11/2025

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Directions to “BUCKHEAD BEHAVIORAL HEALTH ” Practice Location

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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.