Organization · Type 2 NPI
BHG Lxvi, LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Tifton, GA
Practice location
2402 Tift Avenue North, Suite #202, Obot Room #100
Tifton, GA 31794-1885
Fax (229) 386-5818
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
Other addiction medicine (psychiatry & neurology) physician providers in Tifton
About NPI 1043914591
BHG Lxvi, LLC's National Provider Identifier is 1043914591, issued on Mar 29, 2023. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Tifton, GA. The record was last updated on Apr 7, 2025.