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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