VILLA RICA BEHAVIORAL HEALTH PC (NPI# 1982935052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982935052 |
| Entity Type | Organization |
| Organization Name | VILLA RICA BEHAVIORAL HEALTH PC |
| Practice Address |
514 W Bankhead Hwy Suite 400 Villa Rica GA 30180-1736 |
| Practice Telephone | 7704562788 |
| Practice Fax Number | 7704562789 |
| Mailing Telephone | 7704562788 |
| Mailing Fax Number | 7704562789 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | GEORGE W. BAILEY (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7704562788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
514 W BANKHEAD HWY SUITE 400 |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245274034 | George W Bailey | Psychiatry & Neurology | 514 W Bankhead Hwy, Suite 400, Villa Rica, GA 30180-1736 | 2006-06-15 |
| 1972967024 | Brian A Bain Dds IIi PC | Dentist | 514 W Bankhead Hwy, Suite 600, Villa Rica, GA 30180-1736 | 2016-04-05 |
| 1346510278 | Lee Jefferson Davis | Counselor | 514 W Bankhead Hwy, Villa Rica, GA 30180-1736 | 2012-01-10 |
| 1699953414 | Bankhead Chiropractic | Chiropractor | 514 W Bankhead Hwy, #300, Villa Rica, GA 30180-1736 | 2008-02-04 |
| 1528267416 | Rebecca Wade Hill | Counselor | 514 W Bankhead Hwy, Ste 100, Villa Rica, GA 30180-1736 | 2007-07-12 |
| 1336344456 | Jennifer Benson Grizzard | Counselor | 514 W Bankhead Hwy, Suite 100, Villa Rica, GA 30180-1736 | 2007-06-19 |
| 1144425307 | Dana Michelle Nummerdor | Counselor | 514 W Bankhead Hwy, Suite 100, Villa Rica, GA 30180-1736 | 2007-06-18 |
| 1366652174 | Fredric A Moore Dmd PC | Dentist | 514 W Bankhead Hwy, Suite 600, Villa Rica, GA 30180-1736 | 2007-05-23 |
| 1891849204 | Donald Lowell Fletcher | Chiropractor | 514 W Bankhead Hwy, # 300, Villa Rica, GA 30180-1736 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045402 | Debora A Lamonica | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2006-05-28 |
| 1053765057 | Phuongtam Nguyen | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2016-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468840 | Angela Leigh Eubanks | Psychiatry & Neurology | 11 S Winston St, Reynolds, GA 31076-3200 | 2020-02-11 |
| 1265064364 | Haven Psychiatry, LLC | Psychiatry & Neurology | 5871 Glenridge Dr Ste 220, Atlanta, GA 30328-5305 | 2020-02-06 |
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1093249393 | Healing for All LLC | Psychiatry & Neurology | 3307 Sir Henry St, East Point, GA 30344-5831 | 2017-04-13 |
| 1699216416 | Abva, Inc | Psychiatry & Neurology | 4565 Rockmart Rd Se, Unit 1261, Silver Creek, GA 30173-2442 | 2017-03-13 |
| 1225436017 | Aatma Seva Health Inc | Psychiatry & Neurology | 523 Dixie St Ste 3, Carrollton, GA 30117-3870 | 2014-12-11 |
| 1619309309 | Howel William Slaughter Jr. | Psychiatry & Neurology | 40 Abington Ct Nw, Atlanta, GA 30327-1352 | 2013-08-05 |
| 1427493568 | Susan Kirsch | Psychiatry & Neurology | 7000 Peachtree Dunwoody Rd Bldg 16, Atlanta, GA 30328-1655 | 2013-05-02 |
| 1023362852 | Rivertown Psychiatry, PC | Psychiatry & Neurology | 1520 22nd Street, Columbus, GA 31901-1632 | 2012-10-31 |
| 1548550429 | Bene' Mental Wellness | Psychiatry & Neurology | 1835 Savoy Dr Ste 101, Atlanta, GA 30341-1073 | 2011-04-13 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on VILLA RICA BEHAVIORAL HEALTH PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.