MEDICARE: GEORGIA MENTAL HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
3	2084P0800X	Psychiatry Physician
4	2084P0804X	Child & Adolescent Psychiatry Physician
5	323P00000X	Psychiatric Residential Treatment Facility
6	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1588754980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA MENTAL HEALTH, INC.

Provider Business Mailing Address
First Line	:	4386 COMPTON WAY
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-2008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4386 COMPTON WAY
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-2008
Country	:	US
Telephone Number	:	313-865-6711
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. HARRIETTE D GREEN
Credential	:	M.D.
Telephone Number	:	248-249-6039

Provider Enumeration Date	:	10/14/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1528577988 — THU TRONG NGO PHARMACIST
Practice Location Address:

2008 BLOOMFIELD CT
LAS VEGAS, NV
89134-6229

Practice Phone: 714-317-9844
Practice Fax:

1811693799 — HALLE MORRISON
Practice Location Address:

2008 BLOOMFIELD CT
LAS VEGAS, NV
89134-6229

Practice Phone: 435-767-7929
Practice Fax:

1649267626 — MEDALLION PRESCRIPTION PHARMACY
Practice Location Address:

23101 SHERMAN PL , SUITE #101
WEST HILLS, CA
91307-2008

Practice Phone: 818-789-6836
Practice Fax: 818-340-5075

1679749865 — AIMEE PACKER OSTICK M.D.
Practice Location Address:

21400 VENTURA BLVD STE C
WOODLAND HILLS, CA
91364-2008

Practice Phone: 818-600-2426
Practice Fax:

1417194481 — GLEN JUKES D.C.
Practice Location Address:

21408 VENTURA BLVD
WOODLAND HILLS, CA
91364-2008

Practice Phone: 818-887-8244
Practice Fax:

1558849265 — MUSA LOGISTICS INC,
Practice Location Address:

2008 WALNUT HILLS LN
MANSFIELD, TX
76063-5032

Practice Phone: 817-983-4700
Practice Fax: 682-422-3105

Directions to “GEORGIA MENTAL HEALTH, INC. ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.