Provider Demographics
NPI:1083414593
Name:BEHAVIORAL HEALTH MANAGEMENT, LLC
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD OMAIR AHSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:256-244-5170
Mailing Address - Street 1:500 VAUX DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4202
Mailing Address - Country:US
Mailing Address - Phone:256-244-5170
Mailing Address - Fax:
Practice Address - Street 1:4080 MCGINNIS FERRY RD STE 104
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3901
Practice Address - Country:US
Practice Address - Phone:404-913-3533
Practice Address - Fax:404-328-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty