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

Safeway Behavioral Health - Southeast, PC

Organization Mental Health Counselor · NPI 1043028962

Safeway Behavioral Health - Southeast, PC is a Mental Health Counselor in Roswell, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 Bombay Ln
Roswell, GA 30076-5832
Phone: (678) 349-2128
Fax: (404) 393-0138
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1043028962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josefina Bates — Owner · (678) 349-2128
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address1101 Bombay Ln, Roswell, GA 30076-5832

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