Organization
BEHAVIORAL HEALTH OF MIDDLE GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DNETRA N. SMITH LPC (OWNER)
(770) 328-2806
Entity
Organization
Contact information
Practice address
1170 HIGHWAY 80 E, DUBLIN, GA 31027-3201
(770) 328-2806
Mailing address
22 FOREST CIR, #502, NEWNAN, GA 30265-1112
(770) 328-2806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0527
GA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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