Organization · Type 2 NPI
BHG Lxvi, LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Jackson, GA
Practice location
794 Mcdonough Road, Suite #104, Obot Room #100
Jackson, GA 30233-1572
Fax (770) 775-9075
Mailing address
5001 Spring Valley Road, Suite 600 East
Dallas, TX 75244-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | None listed |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
About NPI 1003510520
BHG Lxvi, LLC's National Provider Identifier is 1003510520, issued on Mar 28, 2023. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Jackson, GA. The record was last updated on Apr 7, 2025.