Organization
GEORGIA BEHAVIORAL HEALTH PROFESSIONALS
Active
Organization
GEORGIA BEHAVIORAL HEALTH PROFESSIONALS
Active
Other names
Crossroads Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY TAGTACHIAN (OWNER)
(770) 548-2589
Entity
Organization
Contact information
Practice address
2511 HIGHWAY 34 E, SUITE C, NEWNAN, GA 30265-2309
(678) 423-5500
Mailing address
2511 HIGHWAY 34 E, SUITE C, NEWNAN, GA 30265-2309
(678) 423-5500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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