# MAGELLAN HEALTHCARE SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164551503
- **Authorized official:** MR. NISHMA HERRERA-DAYA LMSW (SUPERVISOR)
- **Authorized official phone:** (800) 201-8316

## Contact information

- **Practice address:** 2550 NORTHWINDS PKWY, ALPHARETTA, GA 30004-2241
- **Practice address phone:** (800) 201-8316
- **Mailing address:** 2785 OAK MEADOW DR, SNELLVILLE, GA 30078-2794
- **Mailing address phone:** (770) 736-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 002776 | GA | Yes |

## Other

- **Enumeration date:** 03/03/2007
- **Last updated:** 08/22/2020