SAFEWAY BEHAVIORAL HEALTH - SOUTHEAST, P.C.
NPI 1043028962
Counselor - Mental Health in Roswell, GA

Q: What is Safeway Behavioral Health - Southeast, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since December 23, 2024

1101 BOMBAY LN, ROSWELL, GA 30076(678) 349-2128(404) 393-0138 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Safeway Behavioral Health - Southeast, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFEWAY BEHAVIORAL HEALTH - SOUTHEAST, P.C. (NPI 1043028962) is a healthcare organization registered as a mental health in Roswell, Georgia and active in the NPI registry since December 2024. The organization lists Josefina Bates, Owner, as its authorized official.

NPPES Registry Identity

NPI1043028962

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSAFEWAY BEHAVIORAL HEALTH - SOUTHEAST, P.C.

Location Address1101 BOMBAY LNRoswell, GA 30076-5832

Mailing Address1101 Bombay LnRoswell, GA 30076-5832 · (678) 349-2128

Phone(678) 349-2128

Fax(404) 393-0138

Organization SubpartNo

Authorized OfficialJosefina BatesOwner · (678) 349-2128

Enumeration DateDecember 23, 2024

NPPES CertifiedDecember 23, 2024

✔ NPI 1043028962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1101 BOMBAY LN, Roswell, GA 30076

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VIRGINIA LEEKS LPC

Counselor (Mental Health)

1101 BOMBAY LN
ROSWELL, GA 30076

Fulton County (678) 674-8835

MISS TAYLOR GRAHAM LMSW

Social Worker

1101 BOMBAY LN
ROSWELL, GA 30076

Fulton County (404) 450-1808

ROY LYNN BUTLER M.S.

Counselor

1101 BOMBAY LN
ROSWELL, GA 30076

Fulton County (865) 255-6745

DR. THEODORA SOUBLIS PH.D.

Psychologist

1101 BOMBAY LN
ROSWELL, GA 30076

Fulton County (770) 362-4815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Safeway Behavioral Health - Southeast, P.C.'s NPI number?

The NPI number for Safeway Behavioral Health - Southeast, P.C. is 1043028962. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Safeway Behavioral Health - Southeast, P.C. located?

Safeway Behavioral Health - Southeast, P.C. is located at 1101 Bombay Ln, Roswell, GA 30076. The listed phone number is (678) 349-2128.

What is Safeway Behavioral Health - Southeast, P.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Safeway Behavioral Health - Southeast, P.C. was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.