Organization
GEORGIA BEHAVIORAL WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TAGTACHIAN (CEO)
(770) 548-2589
Entity
Organization
Contact information
Practice address
2511 HIGHWAY 34 E, NEWNAN, GA 30265-2309
(678) 369-6910
Mailing address
5175 FALCON CHASE LN, ATLANTA, GA 30342-2155
(770) 548-2589
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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