Organization
CENTER FOR FAMILY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALIKA S BHARGAVE (OFFICE MANAGER)
(770) 486-1011
Entity
Organization
Contact information
Practice address
120 HANDLEY RD, SUITE 310, TYRONE, GA 30290-2177
(770) 486-1011
(770) 486-1067
Mailing address
120 HANDLEY RD, SUITE 310, TYRONE, GA 30290-2177
(770) 486-1011
(770) 486-1067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC003177
GA
101YP2500X
Professional Counselor
Primary
LPC003153
GA
103TB0200X
Cognitive & Behavioral Psychologist
PSY002096
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076097468A
—
GA
Enumeration date
11/03/2006
Last updated
03/30/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up