Organization · Type 2 NPI

ST Mikels Behavioral Health Services LLC

Community/Behavioral Health Agency · Johns Creek, GA

NPI number 1083106686 Active

Practice location

11638 Davenport Ln
Johns Creek, GA 30005-4610

Call (470) 263-8517 Map

Mailing address

1205 Fiscer Trace
Cumming, GA 30041

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

Other community/behavioral health agency providers in Johns Creek

See all in Johns Creek →

NPI record

NPI: 1083106686
Entity type: Organization (Type 2)
Issued: May 31, 2018
Last updated: May 31, 2018
Status: Active

Other names

<unavail>
ST Mikels Behavioral Health Services LLC · doing business as
ST Mikels Behavioral Health Services LLC · doing business as

Authorized official

Morufat Diji
CEO
(470) 263-8517

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083106686

ST Mikels Behavioral Health Services LLC's National Provider Identifier is 1083106686, issued on May 31, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Johns Creek, GA. The record was last updated on May 31, 2018.