PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA
NPI 1629264627
Community/Behavioral Health in Jonesboro, GA

Active since September 24, 2007
8712 TARA BLVD, JONESBORO, GA 30236(770) 478-3417(770) 478-3419 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Behavioral Health Service Of Georgia NPPES

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

PHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA (NPI 1629264627) is a healthcare organization registered as a community/behavioral health in Jonesboro, Georgia and active in the NPI registry since September 2007. The organization lists Nyla P Bowens, Therapist/professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1629264627
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX BEHAVIORAL HEALTH SERVICE OF GEORGIA
Location Address8712 TARA BLVDJonesboro, GA 30236-4905
Mailing Address8712 Tara BlvdJonesboro, GA 30236-4905 · (770) 478-3417 · Fax (770) 478-3419
Fax(770) 478-3419
Organization SubpartNo
Authorized OfficialNyla P BowensTherapist/professional Counselor · (770) 478-3417
Enumeration DateSeptember 24, 2007
NPI 1629264627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in GA · LPC000247
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

8712 TARA BLVD, Jonesboro, GA 30236

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.

Counselor (Professional)
8712 TARA BLVD
JONESBORO, GA 30236
Counselor (Mental Health)
8712 TARA BLVD, SUITE B
JONESBORO, GA 30236
Community/Behavioral Health
8712 TARA BLVD
JONESBORO, GA 30236
Community/Behavioral Health
8712 TARA BLVD
JONESBORO, GA 30236

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 Phoenix Behavioral Health Service Of Georgia's NPI number?

The NPI number for Phoenix Behavioral Health Service Of Georgia is 1629264627. It was assigned to this organization in the NPPES registry on September 24, 2007.

Where is Phoenix Behavioral Health Service Of Georgia located?

Phoenix Behavioral Health Service Of Georgia is located at 8712 Tara Blvd, Jonesboro, GA 30236. The listed phone number is (770) 478-3417.

What is Phoenix Behavioral Health Service Of Georgia's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Behavioral Health Service Of Georgia was last updated on September 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.