Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Behavioral Health Service of Georgia

Organization Community/Behavioral Health Agency · NPI 1629264627

Phoenix Behavioral Health Service of Georgia is a Community/Behavioral Health Agency in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

8712 Tara Blvd
Jonesboro, GA 30236-4905
Phone: (770) 478-3417
Fax: (770) 478-3419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LPC000247 (GA)

Record details

NPI number1629264627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nyla Bowens — Therapist/Professional Counselor · (770) 478-3417
NPI enumeratedSeptember 24, 2007
Last updated in NPPESSeptember 24, 2007
Mailing address8712 Tara Blvd, Jonesboro, GA 30236-4905

Other providers in Jonesboro