# ST. RUTH BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1972460194
- **Authorized official:** NADEGE PONE (OWNER)
- **Authorized official phone:** (678) 789-7299

## Contact information

- **Practice address:** 1841 MONTREAL RD STE 110E, TUCKER, GA 30084-5713
- **Practice address phone:** (678) 789-7299
- **Mailing address:** 939 ASHTON PARK CT, LAWRENCEVILLE, GA 30045-7055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2026
- **Last updated:** 01/08/2026