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MYRTLE DAVENPORT HEALTHCARE SERVICES LLC
NPI 1942085832
Psychiatry & Neurology - Psychiatry in Fayetteville, GA

Active since August 29, 2023
200 OXFORD LN, FAYETTEVILLE, GA 30215(678) 203-4595(631) 201-2695 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myrtle Davenport Healthcare Services Llc NPPES

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

MYRTLE DAVENPORT HEALTHCARE SERVICES LLC (NPI 1942085832), doing business as Md Behavioral And Wellness, is a healthcare organization registered as a psychiatry in Fayetteville, Georgia and active in the NPI registry since August 2023. The organization lists Myrtle Howard Davenport, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1942085832
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMYRTLE DAVENPORT HEALTHCARE SERVICES LLC
Location Address200 OXFORD LNFayetteville, GA 30215-5317
Mailing Address200 Oxford LnFayetteville, GA 30215-5317 · (678) 203-4595 · Fax (631) 201-2695
Phone(678) 203-4595
Fax(631) 201-2695
Organization SubpartYes
Authorized OfficialMyrtle Howard DavenportNurse Practitioner/owner · (678) 203-4595
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1942085832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 OXFORD LN, Fayetteville, GA 30215
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Other Names 1

Doing Business AsMd Behavioral And Wellness

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

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 Myrtle Davenport Healthcare Services LLC's NPI number?

The NPI number for Myrtle Davenport Healthcare Services LLC is 1942085832. It was assigned to this organization in the NPPES registry on August 29, 2023. The provider is doing business as MD Behavioral and Wellness.

Where is Myrtle Davenport Healthcare Services LLC located?

Myrtle Davenport Healthcare Services LLC is located at 200 Oxford Ln, Fayetteville, GA 30215. The listed phone number is (678) 203-4595.

What is Myrtle Davenport Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Myrtle Davenport Healthcare Services LLC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.