AVENIA BEHAVIORAL MANAGEMENT, INC


Address: 4500 Karls Gate Dr, Marietta, GA 30068-2017
Phone: 7709730687

AVENIA BEHAVIORAL MANAGEMENT, INC (NPI# 1457395733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457395733
Entity Type Organization
Organization Name AVENIA BEHAVIORAL MANAGEMENT, INC
Practice Address 4500 Karls Gate Dr
Marietta
GA 30068-2017
Mailing Address 2001 Mlk Jr Dr Sw Ste
Suites 418/420
Atlanta
GA 30310
Practice Telephone 7709730687
Practice Fax Number 7709733587
Mailing Telephone 4045644987
Mailing Fax Number 4045644988
Enumeration Date 2006-06-16
Last Update Date 2018-08-17
Authorized Official Name DR. RUSSELL E BROWN JR. (OWNER, MEDICAL DIRECTOR)
Authorized Official Telephone 4043164992
Authorized Official Credential M,D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA RR MEDICARE GROUP PIN CH7731 01
GA RR MEDICARE GROUP PIN CH7732 01

Office Location

Street Address 4500 KARLS GATE DR
City MARIETTA
State GA
Zip Code 30068-2017

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1639721038 Cayla Clark Behavior Technician 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 2019-07-15
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1265912604 Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic Chiropractor 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 2018-08-15
1225514219 Audrey Hughes. Lcsw, LLC Clinic/Center 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 2018-07-13
1316461379 Evan King Registered Nurse 52 Pioneer Trl, Marietta, GA 30068 2017-08-01
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598250342 Avant Behavioral Consultants Inc Psychiatry & Neurology 2225 Heathermoor Hill Dr, Marietta, GA 30062-6502 2018-06-25
1427455617 Charles Earl Levy Psychiatry & Neurology 5300 Willow Point Pkwy, Marietta, GA 30068-1829 2014-12-03
1356679161 Svathi Reddy Md, L.L.C. Psychiatry & Neurology 1640 Powers Ferry Rd Bldg 17, Suite 100, Marietta, GA 30067-5491 2009-12-07
1902031438 Center for Attention & Psychiatry, LLC Psychiatry & Neurology 840 Kennesaw Ave., Suite 8, Marietta, GA 30060 2009-05-28
1356581144 Valdesha Lechante' Dejean Psychiatry & Neurology 1640 Powers Ferry Rd Se Ste 200, Marietta, GA 30067-5491 2009-03-06
1184897779 Lewis Harry Lipsius Psychiatry & Neurology 1236 Ashley Lake Dr Ne, Marietta, GA 30062-2937 2008-04-04
1396874889 Mark Daniel Gronsbell Psychiatry & Neurology 3876 Clubland Dr, Marietta, GA 30068-4008 2007-03-02
1699838045 Crit Reon Cooksey Psychiatry & Neurology 3827 Roswell Road, Suite 100b, Marietta, GA 30062-6262 2006-12-18
1881771004 Michael David Banov Psychiatry & Neurology 108 Margaret Ave, Marietta, GA 30060 2006-11-01
1912082181 Sandra Ann Diehl Psychiatry & Neurology 709 Canton Rd Ne Ste 200, Marietta, GA 30060-7258 2006-10-26
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Competitor

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City MARIETTA
Zip Code 30068

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Dataset Information

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.

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