Organization
ALTARA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA PERRIER PMHNP-BC (CO-OWNER)
(954) 663-6016
Entity
Organization
Contact information
Practice address
2703 PEBBLE FARM CT, GRAYSON, GA 30017-1556
(954) 663-6016
(470) 824-3311
Mailing address
2703 PEBBLE FARM CT, GRAYSON, GA 30017-1556
(954) 663-6016
(470) 824-3311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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