Organization
BEHAVIORAL HEALTH PROFESSIONALS OF LAGRANGE, LLC
Active
Organization
BEHAVIORAL HEALTH PROFESSIONALS OF LAGRANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MOSES (OWNER)
(706) 616-1715
Entity
Organization
Contact information
Practice address
321B GREENVILLE ST, LAGRANGE, GA 30241-3231
(706) 616-1715
(706) 637-2320
Mailing address
321B GREENVILLE ST, LAGRANGE, GA 30241-3231
(706) 616-1715
(706) 637-2320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/29/2020
Last updated
07/27/2023
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