SAINT LAZARUS BEHAVIORAL HEALTH INC.
NPI 1780814574
Clinic/Center - Adolescent and Children Mental Health in Macon, GA

Q: What is Saint Lazarus Behavioral Health Inc.'s NPI number?

The NPI number for Saint Lazarus Behavioral Health Inc. is 1780814574. It was assigned to this organization in the NPPES registry on July 15, 2009.

Q: What is Saint Lazarus Behavioral Health Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since July 15, 2009

4905 FORSYTH RD, MACON, GA 31210(865) 765-8224(478) 474-6585 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Saint Lazarus Behavioral Health Inc. NPPES

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

SAINT LAZARUS BEHAVIORAL HEALTH INC. (NPI 1780814574) is a healthcare organization registered as an adolescent and children mental health in Macon, Georgia and active in the NPI registry since July 2009. The organization lists Samuel Inimbom Samuel, President, as its authorized official.

NPPES Registry Identity

NPI1780814574

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameSAINT LAZARUS BEHAVIORAL HEALTH INC.

Location Address4905 FORSYTH RDMacon, GA 31210-4401

Mailing Address273 Providence BlvdMacon, GA 31210-7565 · (865) 765-8224 · Fax (478) 474-6585

Phone(865) 765-8224

Fax(478) 474-6585

Organization SubpartNo

Authorized OfficialSamuel Inimbom SamuelPresident · (865) 765-8224

Enumeration DateJuly 15, 2009

✔ NPI 1780814574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in GA · 056360

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 056360 (GA)

4905 FORSYTH RD, Macon, GA 31210

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Other Identifiers 2

Medicare UPIN148899TN

Medicaid712889273AGA

Other Providers at the Same Location NPPES

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

MRS. LINDA DIANNE LUCAS REGISTERED NURSE

Registered Nurse

4905 FORSYTH RD
MACON, GA 31210

Bibb County (478) 471-1700

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 Saint Lazarus Behavioral Health Inc.'s NPI number?

The NPI number for Saint Lazarus Behavioral Health Inc. is 1780814574. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is Saint Lazarus Behavioral Health Inc. located?

Saint Lazarus Behavioral Health Inc. is located at 4905 Forsyth Rd, Macon, GA 31210. The listed phone number is (865) 765-8224.

What is Saint Lazarus Behavioral Health Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Saint Lazarus Behavioral Health Inc. was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.