TAILORED ROOTS BEHAVIORAL HEALTH, LLC
NPI 1568368470
Nurse Practitioner - Psychiatric/Mental Health in Fairburn, GA
About Tailored Roots Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAILORED ROOTS BEHAVIORAL HEALTH, LLC (NPI 1568368470) is a healthcare organization registered as a psychiatric/mental health in Fairburn, Georgia and active in the NPI registry since October 2026. The organization lists Shaquanda S Gordon, Owner/managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRBURN, GA 30213
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 Tailored Roots Behavioral Health, LLC's NPI number?
The NPI number for Tailored Roots Behavioral Health, LLC is 1568368470. It was assigned to this organization in the NPPES registry on October 16, 2026.
Where is Tailored Roots Behavioral Health, LLC located?
Tailored Roots Behavioral Health, LLC is located at 825 Belmar Pass, Fairburn, GA 30213. The listed phone number is (470) 583-2403.
What is Tailored Roots Behavioral Health, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Tailored Roots Behavioral Health, LLC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Tailored Roots Behavioral Health, Llc · NPI 1568368470
Psychiatric/Mental Health organization in Fairburn, Georgia. Organization record, active in the CMS NPPES registry since October 16, 2026.
## Identity
- **NPI:** 1568368470 (Entity type: Organization)
- **Enumerated:** October 16, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Shaquanda Gordon, OWNER/MANAGING MEMBER
## Practice location
- **Address:** 825 BELMAR PASS, Fairburn, GA 30213-4482
- **Phone:** (470) 583-2403
## Record status
- **NPPES last updated:** October 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1568368470) · Data from the CMS NPPES public registry.