Provider Demographics
NPI:1104982263
Name:BEHAVIORAL HEALTH CONSULTANTS, INC.
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZAN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-BC
Authorized Official - Phone:404-969-3027
Mailing Address - Street 1:130 26TH ST NW
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2076
Mailing Address - Country:US
Mailing Address - Phone:404-969-3027
Mailing Address - Fax:
Practice Address - Street 1:2221 PEACHTREE RD NE
Practice Address - Street 2:SUITE X24
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1148
Practice Address - Country:US
Practice Address - Phone:404-969-3027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-30
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN115041363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP7593Medicare ID - Type UnspecifiedMEDICARE GROUP ID NUMBER
GADE9291Medicare ID - Type UnspecifiedRAILROAD MEDICARE GRP NUM