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NPI Code Detail

MEDICARE: BETHANY CHRISTIAN SERVICES

MEDICARE: BETHANY CHRISTIAN SERVICES
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
1251S00000XCommunity/Behavioral Health AgencyCSW003659GA
2253J00000XFoster Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851520803
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHANY CHRISTIAN SERVICES
Provider Business Mailing Address
First Line : 6645 PEACHTREE DUNWOODY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30328-1606
Country : US
Telephone Number : 770-455-7111
Fax Number : 770-455-7118
Provider Business Practice Location Address
First Line : 6645 PEACHTREE DUNWOODY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30328-1606
Country : US
Telephone Number : 770-455-7111
Fax Number : 770-455-7118
Authorized Official
Title or Position : LCSW
Name : HELEN RENFROE
Credential :
Telephone Number : 770-274-3462
Provider Enumeration Date : 07/13/2009
Last Update Date : 07/13/2009

Similar Medicare Providers

1285267443 — YUSHEA MARIE MILLER
Practice Location Address:
6645 PEACHTREE DUNWOODY RD
ATLANTA, GA
30328-1606
Practice Phone: 770-490-9271
Practice Fax: 770-455-7111
1265536411 — MRS. LISA DAWN ZIMMERMAN MSW, LCSW
Practice Location Address:
6645 PEACHTREE DUNWOODY RD NE
ATLANTA, GA
30328-1606
Practice Phone: 404-550-3077
Practice Fax: 770-455-7118
1710186697 — BETHANY CHRISTIAN SERVICES OF GEORGIA
Practice Location Address:
6645 PEACHTREE DUNWOODY RD NE
ATLANTA, GA
30328-1606
Practice Phone: 770-455-7111
Practice Fax: 770-274-3000
1487950804 — MEREDITH MORGAN CONNOR LCSW
Practice Location Address:
6645 PEACHTREE DUNWOODY RD NE
ATLANTA, GA
30328-1606
Practice Phone: 770-455-7111
Practice Fax: 770-455-7118
1619345048 — KAREN SCHMIDT
Practice Location Address:
6645 PEACHTREE DUNWOODY RD
ATLANTA, GA
30328-1606
Practice Phone: 770-455-7111
Practice Fax: 770-274-3460
1720455157 — KATY DAVIS
Practice Location Address:
6645 PEACHTREE DUNWOODY RD
ATLANTA, GA
30328-1606
Practice Phone: 770-455-7111
Practice Fax: 770-274-3460

Directions to “BETHANY CHRISTIAN SERVICES ” 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.