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Organization
SYNERGY BEHAVIOR HEALTH PROFESSIONALS
Active
Organization
SYNERGY BEHAVIOR HEALTH PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MCDOWELL (CEO)
(470) 696-6868
Entity
Organization
Contact information
Practice address
4318 GRANT FOREST CIR, ELLENWOOD, GA 30294-5502
(470) 696-6868
Mailing address
4318 GRANT FOREST CIR, ELLENWOOD, GA 30294-5502
(470) 696-6868
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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