ALARIS BEHAVIORAL SERVICES, P.C. (NPI# 1366619652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366619652 |
| Entity Type | Organization |
| Organization Name | ALARIS BEHAVIORAL SERVICES, P.C. |
| Practice Address |
110 Habersham Dr Suite 146 Fayetteville GA 30214-1381 |
| Practice Telephone | 7703715110 |
| Practice Fax Number | 6785006797 |
| Mailing Telephone | 7703715110 |
| Mailing Fax Number | 6785006797 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | DR. LINDA R. NEALE (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7707164117 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
49070 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000891349E | 05 | |
| GA | MEDICARE PTAN | 202G700593 | 01 |
| Street Address |
110 HABERSHAM DR SUITE 146 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104349208 | Transunion Medical Supply and Services, Inc | Durable Medical Equipment & Medical Supplies | 110 Habersham Dr, Ste 106, Fayetteville, GA 30214-1381 | 2017-07-20 |
| 1619416575 | Next Step Counseling, LLC | Community/Behavioral Health | 110 Habersham Dr, Suite 142, Fayetteville, GA 30214-1381 | 2017-02-13 |
| 1548714777 | Teresa Bradley | Counselor | 110 Habersham Dr, Suite 142, Fayetteville, GA 30214-1381 | 2016-08-04 |
| 1689058687 | Salt & Light Counseling LLC | Counselor | 110 Habersham Dr, Suite 109, Fayetteville, GA 30214-1381 | 2015-07-20 |
| 1366826356 | Chena Blanchard | Counselor | 110 Habersham Dr, Suite 109, Fayetteville, GA 30214-1381 | 2015-07-20 |
| 1639570039 | Fredric Darnell Blocker | Counselor | 110 Habersham Dr, Ste 116, Fayetteville, GA 30214-1381 | 2014-09-04 |
| 1184025587 | Heavenly Therapeutic Services LLC | Counselor | 110 Habersham Dr, Ste 116, Fayetteville, GA 30214-1381 | 2014-09-04 |
| 1326390196 | Shantel M Forstall | Social Worker | 110 Habersham Dr, Fayetteville, GA 30214-1381 | 2012-10-03 |
| 1760757793 | Donna Louise Baynes | Counselor | 110 Habersham Dr, 113, Fayetteville, GA 30214-1381 | 2012-03-08 |
| 1477849701 | Tamara Freeman | Counselor | 110 Habersham Dr, Ste 110, Fayetteville, GA 30214-1381 | 2011-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548381510 | Kathryn A Panek | Psychiatry & Neurology | 74 W Sunbridge Dr, Suite 1, Fayetteville, AR 72703-1822 | 2007-04-03 |
| 1689617417 | Norman I Snyder | Psychiatry & Neurology | 4253 N Crossover Rd, Suite 2, Fayetteville, AR 72703-4593 | 2006-06-13 |
| 1538125448 | Eric Jean Lespes | Psychiatry & Neurology | 250 Sawtooth Dr, Fayetteville, NC 28314-4536 | 2006-04-21 |
| 1316118326 | Matthew J. Crouch, Md, Pllc | Psychiatry & Neurology | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2008-03-18 |
| 1659401453 | County of Cumberland | Psychiatry & Neurology | 711 Executive Pl, Fayetteville, NC 28305-5193 | 2007-03-07 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468840 | Angela Leigh Eubanks | Psychiatry & Neurology | 11 S Winston St, Reynolds, GA 31076-3200 | 2020-02-11 |
| 1265064364 | Haven Psychiatry, LLC | Psychiatry & Neurology | 5871 Glenridge Dr Ste 220, Atlanta, GA 30328-5305 | 2020-02-06 |
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1093249393 | Healing for All LLC | Psychiatry & Neurology | 3307 Sir Henry St, East Point, GA 30344-5831 | 2017-04-13 |
| 1699216416 | Abva, Inc | Psychiatry & Neurology | 4565 Rockmart Rd Se, Unit 1261, Silver Creek, GA 30173-2442 | 2017-03-13 |
| 1225436017 | Aatma Seva Health Inc | Psychiatry & Neurology | 523 Dixie St Ste 3, Carrollton, GA 30117-3870 | 2014-12-11 |
| 1619309309 | Howel William Slaughter Jr. | Psychiatry & Neurology | 40 Abington Ct Nw, Atlanta, GA 30327-1352 | 2013-08-05 |
| 1427493568 | Susan Kirsch | Psychiatry & Neurology | 7000 Peachtree Dunwoody Rd Bldg 16, Atlanta, GA 30328-1655 | 2013-05-02 |
| 1023362852 | Rivertown Psychiatry, PC | Psychiatry & Neurology | 1520 22nd Street, Columbus, GA 31901-1632 | 2012-10-31 |
| 1548550429 | Bene' Mental Wellness | Psychiatry & Neurology | 1835 Savoy Dr Ste 101, Atlanta, GA 30341-1073 | 2011-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.