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Organization
CHILDREN'S BMH PROVIDERS, LLC
Active
Organization
CHILDREN'S BMH PROVIDERS, LLC
Active
Other names
CHILDRENS BMH PROVIDERS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FOWLER (CHIEF FINANCIAL OFFICER)
(404) 785-5437
Entity
Organization
Contact information
Practice address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
(404) 785-5437
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
(404) 785-7876
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/22/2007
Last updated
10/17/2025
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