| New Heights Behavioral Consultants, Inc. | |
|
101 Devant St Suite 702 Fayetteville GA 30214-2710 | |
| (770) 460-0970 | |
| (866) 758-5731 |
| Full Name | New Heights Behavioral Consultants, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 101 Devant St, Fayetteville, Georgia |
| Authorized Official Name and Position | Robert L Clemons (CEO-CLINICAL DIRECTOR) |
| Authorized Official Contact | 7704600970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Heights Behavioral Consultants, Inc. 101 Devant St Suite 702 Fayetteville GA 30214-2710 Ph: (770) 460-0970 | New Heights Behavioral Consultants, Inc. 101 Devant St Suite 702 Fayetteville GA 30214-2710 Ph: (770) 460-0970 |
| NPI Number | 1205992146 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205992146 | NPI | - | NPPES |
| 641920572A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 004041 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | (Georgia) | Secondary |
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