PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA – Community/Behavioral Health Agency, NPI 1629264627

PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA is a healthcare provider. based in Jonesboro, Georgia. specializing in Community/Behavioral Health Agency. The organization holds a License No. LPC000247 (GA). The NPI Number for PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA is 1629264627

Main info

Organization
Name
PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA
NPI
1629264627
Phone
(770) 478-3417
Address
8712 TARA BLVD
Authorized Official
MRS. NYLA P BOWENS THERAPIST/PROFESSIONAL COUNSELOR LPC
Enumeration Date
24 September 2007
Last Update Date
24 September 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA

  • 8712, Tara Boulevard, Jonesboro, Clayton County, Georgia, 30236, United States

    JONESBORO, GA 302364905

    Phone: (770) 478-3417

    Fax: (770) 478-3419

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30236)

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Frequently asked questions

What is PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA's NPI number?
PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA's NPI is 1629264627 — the number used across U.S. healthcare to identify this provider.
Would PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA appear as active to a payer?
You can treat PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA as active for directory purposes; confirm clinical privileges separately.
How would a patient describe PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA's focus?
For PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA, the primary taxonomy reads as Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA?
Travel planning: use Jonesboro, Georgia as the reference point for PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA, then confirm.
When was this NPI issued?
Enumeration for PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA is noted as September 24, 2007 where the registry provides it.

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