NPI 1861016537 · live from the CMS NPI Registry
Behavioral Health Professionals Of Lagrange, LLC
Psychiatry & Neurology, Psychiatry in Lagrange, GA. National Provider Identifier 1861016537, active.
NPI record
| NPI | 1861016537 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 321b Greenville St, Lagrange, GA 30241 |
| Practice phone | 706-616-1715 |
| Enumerated | May 29, 2020 |
| Last updated | July 27, 2023 |
| Authorized official | Nicholas Moses, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.